Individual
DR. MONIF MOUSSA MATOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
400 W I ST STE C, LOS BANOS, CA 93635-3459
(209) 827-2766
Mailing address
311 W I ST, LOS BANOS, CA 93635-3479
(209) 826-2222
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5321
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
016005096
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
5321
CA
Other
Enumeration date
05/18/2006
Last updated
05/09/2024
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