Matuga, Edward Anthony

Matuga, Edward Anthony is an individual health care provider with primary practice located at 6405 Day St , Riverside CA 92507-0901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Matuga, Edward Anthony can be contacted via phone (951) 697-5500.

Contact Information

Primary practice address
6405 Day St Riverside CA 92507-0901
Phone: (951) 697-5500
Fax: (951) 697-5508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G39457 California

Profile Details

NPI number 1003890682
LBN Legal business name Matuga, Edward Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 17 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 1003890682 NPPES
Other ZZZ92058Z GROUP SIDE LOCATION
Other 1730180415 GROUP SIDE LOCATION

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