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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003890682 | NPPES |
| Other | ZZZ92058Z | GROUP SIDE LOCATION | |
| Other | 1730180415 | GROUP SIDE LOCATION |
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