Modes, Matthew Evan

Modes, Matthew Evan is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Modes, Matthew Evan can be contacted via phone (310) 423-8784.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Phone: (310) 423-8784
Fax: (310) 423-2665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD60649656 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD60649656 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A170987 California

Profile Details

NPI number 1992144729
LBN Legal business name Modes, Matthew Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2013
Last updated Jan 13th, 2021 - about 3 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 1992144729 NPPES
Washington MEDICAID 1992144729

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