Lezama, Matthew Glen

Lezama, Matthew Glen is an individual health care provider with primary practice located at 150 S Los Robles Ave Ste 850 , Pasadena CA 91101-4630. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Lezama, Matthew Glen can be contacted via phone (888) 588-8995.

Contact Information

Primary practice address
150 S Los Robles Ave Ste 850 Pasadena CA 91101-4630
Phone: (888) 588-8995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95010135 California

Profile Details

NPI number 1093063745
LBN Legal business name Lezama, Matthew Glen
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated Jan 12th, 2023 - about 2 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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