| Belen Matias, Md A Medical Corp | |
|
17075 Devonshire St Suite 305 Northridge CA 91325-1600 | |
| (818) 363-0110 | |
| (818) 363-0160 |
| Full Name | Belen Matias, Md A Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 17075 Devonshire St, Northridge, California |
| Authorized Official Name and Position | Annpaula Bandayrel (OFFICE MANAGER) |
| Authorized Official Contact | 8183630110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belen Matias, Md A Medical Corp 17075 Devonshire St Suite 305 Northridge CA 91325-1600 Ph: (818) 363-0110 | Belen Matias, Md A Medical Corp 17075 Devonshire St Suite 305 Northridge CA 91325-1600 Ph: (818) 363-0110 |
| NPI Number | 1881706190 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082898705 |
|---|---|
| Medicare Enrollment ID | O20110405000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881706190 | NPI | - | NPPES |
| 00A564390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A056439 (California) | Primary |
| Provider Name | Belen Aledia Matias |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881874691 PECOS PAC ID: 5799790929 Enrollment ID: I20110405000202 |
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