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  • 757558
CCN: 757558 NPI: 1013503739 Organization

Matisa, Inc.

601 PALM DR APT 102
GLENDALE, CA 912023311

Contact Information

  • Phone 8183910634
  • Enumeration Date 2020-12-16
  • Last Updated 2020-12-16

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 9
cbsaActualGeographicLocation 11244
providerType 36
censusDivision 9
cbsaActualGeographicLocation 11244
providerType 36
censusDivision 9
cbsaActualGeographicLocation 11244
providerType 36
censusDivision 9
cbsaActualGeographicLocation 11244
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 11244
providerType 36
specialPaymentIndicator
carrierCode 01182
localityCode 18
cbsaActualGeographicLocation 11244
providerType 36
specialPaymentIndicator
carrierCode 01182
localityCode 18
cbsaActualGeographicLocation 11244
providerType 36
specialPaymentIndicator
carrierCode 01182
localityCode 18
cbsaActualGeographicLocation 11244
providerType 36
specialPaymentIndicator
carrierCode 01182
localityCode 18

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