NPI 1013101914

Mark A. Matthews

Practitioner Licensed Practical Nurse Los Angeles, CA

Practice location

Address: 6310 7th Ave 6313 7th Avenue, Los Angeles, CA 90043-4275
Phone: (323) 778-0718

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LVN 180296 (CA)

Other Licensed Practical Nurse providers in California →

Registry record

NPI: 1013101914
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2007
Record last updated: 4 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.