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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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