Harry Berj Matossian, MD | |
234 Hospital Dr, Ukiah, CA 95482-4560 | |
(707) 462-0681 | |
(707) 462-4647 |
Full Name | Harry Berj Matossian |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 234 Hospital Dr, Ukiah, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316945702 | NPI | - | NPPES |
ZZZ56549Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
00G623230 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | G62323 (California) | Primary |
Entity Name | Pratt Regional Medical Center Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578596904 PECOS PAC ID: 1355253238 Enrollment ID: O20040419001344 |
Mailing Address | Practice Location Address |
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Harry Berj Matossian, MD 234 Hospital Dr, Ukiah, CA 95482-4560 Ph: (707) 462-0681 | Harry Berj Matossian, MD 234 Hospital Dr, Ukiah, CA 95482-4560 Ph: (707) 462-0681 |
Dr. Guy Teran, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111 | |
Christine Ives, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 275 S Orchard Ave, Ukiah, CA 95482 Phone: 707-463-3440 Fax: 707-463-3446 | |
Dr. Ronald Sean Batin, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 232 Hospital Dr Ste A, Ukiah, CA 95482 Phone: 707-467-3189 | |
Linda Louise Mulligan, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 630 Kings Ct, Ukiah, CA 95482 Phone: 707-468-7700 | |
Iyad Hanna, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr, Suite 103, Ukiah, CA 95482 Phone: 707-463-8028 Fax: 707-462-7382 | |
Benjamin H Meyer, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 115 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-2400 Fax: 707-463-3520 |