Matusoff, Michelle Joanne

Matusoff, Michelle Joanne is an sole proprietor health care provider with primary practice located at 3101 W Coast Hwy , Newport Beach CA 92663-4001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Matusoff, Michelle Joanne can be contacted via phone (800) 257-8715.

Contact Information

Primary practice address
3101 W Coast Hwy Newport Beach CA 92663-4001
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15421 California

Profile Details

NPI number 1609815026
LBN Legal business name Matusoff, Michelle Joanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Feb 24th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609815026 NPPES
California MEDICAID PSY154210
California Other PSY154211

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