Search › California › 163W00000X
Thresiamma Mathew
NPI 1033800024 · on the registry since 2023 · sole proprietor
Practice
- Address
- 17419 Lassen St
Northridge, CA 91325 - Phone
- (818) 455-2586
- Fax
- (661) 480-5496
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-19
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