Deardorff, Matthew
Deardorff, Matthew is an individual health care provider with primary practice located at 4650 W Sunset Blvd # Ms 43 , Los Angeles CA 90027-6062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Deardorff, Matthew can be contacted via phone (877) 543-9522.Contact Information
Primary practice address
4650 W Sunset Blvd # Ms 43
Los Angeles CA 90027-6062
Phone: (877) 543-9522
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD421927 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD421927 | Pennsylvania |
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | C168510 | California |
Profile Details
NPI number | 1164541181 |
---|---|
LBN Legal business name | Deardorff, Matthew |
Credentials | MD, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Apr 30th, 2020 - about 4 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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