Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW HADILAKSONO, DO
ActiveDR. MATTHEW HADILAKSONO, DO is a Physical Medicine & Rehabilitation healthcare provider located in TEMPLETON, California. NPI 1205225174 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · TEMPLETON, CA
Registration Details
- NPI Number
- 1205225174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2015 (11.435674477022 yrs)
- Last Updated
- Mar 1, 2022
- Licenses
-
20A15470 (CA)20A15470 (CA)
Practice Information
- Address
-
1105 LAS TABLAS RD STE DTEMPLETON, CA, 934659731Browse CA providers · Browse ZIP 93465
- Phone
- 8055506689
- Fax
- 8336152271
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in TEMPLETON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. STEVE HODGSON | RPT | 1598823288 |
| MRS. VALERIE A ASSEMI | RPT | 1881752533 |
| VERONICA WALKER | — | 1659983732 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.