Organization
LISA MATZER, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MATZER M.D. (PRESIDENT)
(310) 472-5828
Entity
Organization
Contact information
Practice address
2121 W MAGNOLIA BLVD, BURBANK, CA 91506-1706
(818) 840-9200
(310) 472-5828
Mailing address
2095 SUMMIT POINT DR, LOS ANGELES, CA 90049-6852
(310) 472-5828
(310) 472-5828
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G67253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G672530
—
CA
Enumeration date
10/21/2006
Last updated
08/15/2010
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