Individual provider · Type 1 NPI

Gayane Matusov, MD

Student in an Organized Health Care Education/Training Program · La Jolla, CA

NPI number 1104569466 Active

Practice location

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027

Call (858) 554-3200 Map

Mailing address

10790 Rancho Bernardo Rd., Mail Drop 4S-205 In Address 2 Box
San Diego, CA 92127

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104569466

Gayane Matusov, MD's National Provider Identifier is 1104569466, issued on Apr 15, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Jolla, CA. The record was last updated on Apr 22, 2024.