Ameer Matariyeh A Professional Medical Corporation | |
1990 Westwood Blvd Ste 220, Los Angeles, CA 90025-4674 | |
(310) 475-5377 | |
(310) 446-1825 |
Full Name | Ameer Matariyeh A Professional Medical Corporation |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1990 Westwood Blvd Ste 220, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851027056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Ameer Matariyeh |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1427544113 PECOS PAC ID: 3173928900 Enrollment ID: I20220916001839 |
Mailing Address | Practice Location Address |
---|---|
Ameer Matariyeh A Professional Medical Corporation 44938 16th St W, Lancaster, CA 93534-2135 Ph: (661) 471-2235 | Ameer Matariyeh A Professional Medical Corporation 1990 Westwood Blvd Ste 220, Los Angeles, CA 90025-4674 Ph: (310) 475-5377 |
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