Individual
MARK ELLIOTT MATUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 PARK TER STE 400, LOS ANGELES, CA 90045-9212
(310) 665-7200
Mailing address
1100 DELAPLAINE CT, MADISON, WI 53715-1840
(608) 263-4550
(608) 263-5813
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A18824
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
08/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us