1184069825

Everything you always wanted to know about MATHEW JOHN ANNA M.D. but were afraid to ask.

MATHEW JOHN ANNA M.D.

You can also download the this 1184069825 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
MATHEW JOHN ANNA M.D.
Gender:
Female
Enumeration date:
2013-05-08
Last update date:
2016-09-02
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
A116340 Other CA MED LICENCE CA
08678877 Medicaid none MS
295588YR8U Medicare PIN none MS

Taxonomies

Taxonomy State License Number Primary?
207ZN0500X Neuropathology CA A116340 N
207ZP0102X Anatomic Pathology & Clinical Pathology MS 21473 N

Phone Numbers

Type Number
Practice Location Address Telephone Number 3234422582
Mailing Address Telephone Number 3234428591

Addresses

Type Address City State Postal Country
Mailing Address P. O BOX 31309 2ND FLOOR LAB LOS ANGELES CA 90031 CA
Practice Location Address 1450 SAN PABLO STREET LOS ANGELES CA 90033 CA

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