Dr Matthew Philip Dizon, MD | |
200 Muir Rd, Martinez, CA 94553-4614 | |
(925) 817-5600 | |
Not Available |
Full Name | Dr Matthew Philip Dizon |
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Gender | Male |
Speciality | Dermatology |
Location | 200 Muir Rd, Martinez, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093248841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A170714 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Matthew Philip Dizon, MD 200 Muir Rd, Martinez, CA 94553-4672 Ph: (925) 817-5600 | Dr Matthew Philip Dizon, MD 200 Muir Rd, Martinez, CA 94553-4614 Ph: (925) 817-5600 |
Dr. Sherilyn Baughman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-957-5429 | |
Cynthia S. Mates, MD Dermatology Medicare: Medicare Enrolled Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1000 | |
Barry A. Waldman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1000 | |
Ross T. Jackson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1000 |