Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A108384 | CA |
N | 208600000X | Surgeon | A108384 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A108384 | CA |
NPI | 1033346812 |
---|---|
Provider Name | Dr. Matthew E Powers |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 25/09/2020 |