Hadilaksono, Matthew

Hadilaksono, Matthew is an individual health care provider with primary practice located at 1105 Las Tablas Rd Ste D , Templeton CA 93465-9731. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hadilaksono, Matthew can be contacted via phone (805) 550-6689.

Contact Information

Primary practice address
1105 Las Tablas Rd Ste D Templeton CA 93465-9731
Phone: (805) 550-6689
Fax: (833) 615-2271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 20A15470 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 20A15470 California

Profile Details

NPI number 1205225174
LBN Legal business name Hadilaksono, Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2015
Last updated Mar 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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