| Carolyn A Matzinger Md A Professional Corporation | |
| 
					1800 Spring Ridge Dr Susanville CA 96130-6100  | |
| (530) 252-2000 | |
| Not Available | 
| Full Name | Carolyn A Matzinger Md A Professional Corporation | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1800 Spring Ridge Dr, Susanville, California | 
| Authorized Official Name and Position | Carolyn A Matzinger (PHYSICIAN) | 
| Authorized Official Contact | 7023801974 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carolyn A Matzinger Md A Professional Corporation 10620 Southern Highlands Pkwy Suite 110-419 Las Vegas NV 89141-4371 Ph: (702) 380-1974  | Carolyn A Matzinger Md A Professional Corporation 1800 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 252-2000  | 
| NPI Number | 1639304116 | 
|---|---|
| Provider Enumeration Date | 05/27/2009 | 
| Last Update Date | 05/27/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639304116 | NPI | - | NPPES | 
| C50852 | Other | CA | CALIFORNIA MEDICAL LICENSE | 
| 10187 | Other | NV | MEDICAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | C50852 (California) | Primary | 
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