SearchCalifornia103TC2200X

Matthew Ruderman, PH.D

NPI 1750716494 · on the registry since 2013 · sole proprietor

Practice

Address
1339 20th St
Santa Monica, CA 90404
Phone
(310) 829-8921
Organisation at this address
Providence Saint John'S Health Center
Providence Saint John'S Health Center
Providence Saint John'S Health Center
Saint John'S Child And Family Development Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
133

Registry record

Primary taxonomy
103TC2200X
103TC2200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-29

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