Individual
MICHAEL DENIS MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 LA VENTA, SUITE 202, WESTLAKE VILLAGE, CA 91361
(805) 496-5153
(805) 496-5202
Mailing address
1250 LA VENTA, SUITE 202, WESTLAKE VILLAGE, CA 91361
(805) 496-5153
(805) 496-5202
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
G27552
CA
207RX0202X
Medical Oncology Physician
Primary
G27552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G27552
MEDICAL LICENSE
CA
01
—
WG27552A
MEDICARE PTAN
CA
Enumeration date
01/26/2006
Last updated
02/03/2015
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