Provider Demographics
NPI:1780944470
Name:MARKIS, MATTHEW S (DO)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:MARKIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23622 CALABASAS RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1549
Mailing Address - Country:US
Mailing Address - Phone:818-921-4300
Mailing Address - Fax:877-917-3450
Practice Address - Street 1:23622 CALABASAS RD
Practice Address - Street 2:SUITE 320
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1549
Practice Address - Country:US
Practice Address - Phone:818-921-4300
Practice Address - Fax:877-917-3450
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2016-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZR21472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry