Doctor Name: | DR. AMIN MATIN |
NPI Number: | 1003038860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., M.P.H. |
License Number: | A94788 |
Business Practice Address: | 2800 L St Suite 610 Sacramento, CA - 958165616 |
Business Phone Number: | 9167334401 |
Business Fax Number: | |
Mailing Address: | 10470 Old Placerville Rd, Suite 100 SACRAMENTO |
State: | CA |
Postal Code: | 958272539 |
Phone Number: | 8666810736 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | A94788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |