Individual
DR. MAXIMILIANO H MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 NUTMEG PL, SUITE 110, COSTA MESA, CA 92626-2501
(714) 437-9763
(714) 437-9764
Mailing address
1520 NUTMEG PL, SUITE 110, COSTA MESA, CA 92626-2501
(714) 437-9763
(714) 437-9764
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A26214
CA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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