Individual
HMAYAK HAMO MATOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W HUNTINGTON DR, ARCADIA, CA 91007-3402
(626) 445-4441
(626) 821-6955
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A64000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A640000
BLUE SHIELD
CA
05
—
00A640001
—
CA
Enumeration date
07/26/2006
Last updated
07/08/2007
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