Matossian, Harry Berj
Matossian, Harry Berj is an sole proprietor health care provider with primary practice located at 234 Hospital Dr , Ukiah CA 95482-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Matossian, Harry Berj can be contacted via phone (707) 462-0681.Contact Information
Primary practice address
234 Hospital Dr
Ukiah CA 95482-4560
Phone: (707) 462-0681
Fax: (707) 462-4647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G62323 | California |
Profile Details
| NPI number | 1316945702 |
|---|---|
| LBN Legal business name | Matossian, Harry Berj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Oct 23rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316945702 | NPPES |
| California | MEDICAID | 00G623230 | |
| California | Other | ZZZ56549Z |
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