SearchCalifornia224L00000X

Matthew Maltezos, PEDORTHIST

NPI 1871130781 · on the registry since 2019 · sole proprietor

Practice

Address
6536 E Spring St
Long Beach, CA 90815
Phone
(562) 429-7777
Organisation at this address
Tenni-Moc'S Shoe Store Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
224L00000X
224L00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-10

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