Reddoch, Matthew

Reddoch, Matthew is an individual health care provider with primary practice located at 11234 Anderson St Gme Office Westerly Suite C, Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Reddoch, Matthew can be contacted via phone (909) 558-4085.

Contact Information

Primary practice address
11234 Anderson St Gme Office Westerly Suite C Loma Linda CA 92354-2804
Phone: (909) 558-4085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 56618 Arizona

Profile Details

NPI number 1508247800
LBN Legal business name Reddoch, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Aug 21st, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508247800 NPPES
Arizona MEDICAID 437751

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