| Doctor Name: | ALIASGHAR MATIN |
| NPI Number: | 1003991431 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD,RPT |
| License Number: | PT 12456 |
| Business Practice Address: | 5635 Cahuenga Blvd North Hollywood, CA - 916012104 |
| Business Phone Number: | 8183087450 |
| Business Fax Number: | 8183087795 |
| Mailing Address: | 1407 Hillside Dr, GLENDALE |
| State: | CA |
| Postal Code: | 912082416 |
| Phone Number: | 8183087450 |
| Fax Number: | 8183087795 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 09/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 12456 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |