Dr. Ray Vern Matthews
Interventional Cardiology Internist - Cardiovascular Disease
1520 San Pablo St Suite 1000
Los Angeles
, California 90033-5310
Dr. Ray Vern Matthews
Interventional Cardiology Internist - Cardiovascular Disease
1520 San Pablo St Suite 1000
Los Angeles
, California 90033-5310
(323) 442-5100
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. Ray Vern Matthews
- Po Box 31309
- Los Angeles, CA
- Zip : 90031-0309
- Phone : (323) 442-5100
Second Address
- Dr. Ray Vern Matthews
- 1520 San Pablo St Suite 1000
- Los Angeles, CA
- Zip : 90033-5310
- Phone : (323) 442-5100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | G54794 | CA |
| Y | 207RI0011X | Interventional Cardiology | G54794 | CA |
National Provider Identifier
| NPI | 1104810076 |
|---|---|
| Provider Name | Dr. Ray Vern Matthews |
| First Address | Los Angeles, CA 90031-0309 |
| Second Address | Los Angeles, CA 90033-5310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2005 |
| Last Update Date | 28/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G547940 | (05) | CA |
| 060049073 | MEDICARE RAILROAD (01) | CA |
| 1902846306 | GROUP NPI (01) | CA |
| A52797 | (02) | |
| GR0100430 | GROUP MEDICAL (01) | CA |
| W18762 | GROUP MEDICARE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.