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Mark Matthews
NPI 1013101914 · on the registry since 2007
Practice
- Address
- 6310 7th Ave
6313 7th Avenue
Los Angeles, CA 90043 - Phone
- (323) 778-0718
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-04
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