Individual
YURI MATUSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD STE AC1150, WEST HOLLYWOOD, CA 90048-1804
(310) 423-8784
(310) 423-2665
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A152065
CA
Other
Enumeration date
07/14/2015
Last updated
07/30/2025
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