Organization
MICHAEL D MASTERSON, MD
Active
Other names
Michael D Masterson, MD, A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LEE KELLY (PRACTICE MANAGER)
(805) 496-1360
Entity
Organization
Contact information
Practice address
227 W JANSS RD, SUITE 280, THOUSAND OAKS, CA 91360-1848
(805) 496-1360
(805) 496-8270
Mailing address
227 W JANSS RD, SUITE 280, THOUSAND OAKS, CA 91360-1848
(805) 496-1360
(805) 496-8270
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
Enumeration date
07/17/2007
Last updated
01/18/2011
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