Matthews, Ray Vern
Matthews, Ray Vern is an individual health care provider with primary practice located at 1520 San Pablo St Suite 1000, Los Angeles CA 90033-5310. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Matthews, Ray Vern can be contacted via phone (323) 442-5100.Contact Information
Primary practice address
1520 San Pablo St Suite 1000
Los Angeles CA 90033-5310
Phone: (323) 442-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G54794 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G54794 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G54794 | California |
Profile Details
| NPI number | 1104810076 |
|---|---|
| LBN Legal business name | Matthews, Ray Vern |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104810076 | NPPES |
| California | Other | 060049073 | MEDICARE RAILROAD |
| California | Other | W18762 | MEDICARE RAILROAD |
| California | MEDICAID | 00G547940 | MEDICARE RAILROAD |
| California | Other | GR0100430 | MEDICARE RAILROAD |
| California | Other | 1902846306 | MEDICARE RAILROAD |
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