Individual
JOHN D MATRISCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2190 LYNN RD, #200, THOUSAND OAKS, CA 91360
(805) 379-4677
(805) 495-1829
Mailing address
2190 LYNN RD, #200, THOUSAND OAKS, CA 91360
(805) 379-4677
(805) 495-1829
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G29825
CA
Other
Enumeration date
08/29/2006
Last updated
03/23/2009
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