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Harry Berj Matossian, M.D.

Internal Medicine, Gastroenterology in Ukiah, CA. Individual provider (NPI-1).

NPI number1316945702
StatusActive
Last updated in NPPESAug 26, 2024

Details

NPI
1316945702
Entity type
Individual (NPI-1)
Name
Harry Berj Matossian
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 11, 2005
Certification date
Aug 22, 2024
Last updated
Aug 26, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - GASTROENTEROLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, GastroenterologyG62323CAYes

Practice location

234 Hospital Dr
Ukiah, CA 95482-4560

Phone 707-462-0681 · Fax 707-462-4647

Mailing address

234 Hospital Dr
Ukiah, CA 95482-4560

Phone 707-462-0681 · Fax 707-462-4647

Other practice locations

100 Hospital Dr
Suite 201
Ketchum, ID 83340

Phone 208-727-8888 · Fax 208-727-8889

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Gastroenterology Physician providers in Ukiah, CA

All 5 Gastroenterology Physician providers in Ukiah · All 1,707 providers in Ukiah

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