Search › California › 208100000X
Matthew Hadilaksono, DO
NPI 1205225174 · on the registry since 2015
Practice
- Address
- 1105 Las Tablas Rd Ste D
Templeton, CA 93465 - Phone
- (805) 550-6689
- Fax
- (833) 615-2271
- Organisation at this address
- Montoya Dental Corporation
North County Associates, Llc
Lags Spine & Sportscare Medical Centers Inc
Community Health Centers Of The Central Coast Inc
Pain And Spine Medicine Center Of The Central CoastInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 214 S Stratford Ave, Santa Maria, CA
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 2081P2900X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California