Individual
ALEX MATTHEW MATAVOSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
558 SAINT CHARLES DR, THOUSAND OAKS, CA 91360-3903
(805) 449-8781
Mailing address
10303 WHITEGATE AVE, SUNLAND, CA 91040-3122
(865) 804-5724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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