Organization
BELEN MATIAS, MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNPAULA BANDAYREL (OFFICE MANAGER)
(818) 363-0110
Entity
Organization
Contact information
Practice address
17075 DEVONSHIRE ST, SUITE 305, NORTHRIDGE, CA 91325-1600
(818) 363-0110
(818) 363-0160
Mailing address
17075 DEVONSHIRE ST, SUITE 305, NORTHRIDGE, CA 91325-1600
(818) 363-0110
(818) 363-0160
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A056439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564390
—
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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