Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A83428 | CA |
NPI | 1013015627 |
---|---|
Provider Name | Dr. Helen E. Matthews |
First Address | San Ramon, CA 94583-4749 |
Second Address | San Ramon, CA 94583-4749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 20/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H94232 | (02) |