Edward Anthony Matuga
Obstetrician & Gynecologist
6405 Day St
Riverside
, California 92507-0901
Edward Anthony Matuga
Obstetrician & Gynecologist
6405 Day St
Riverside
, California 92507-0901
(915) 697-5508
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Edward Anthony Matuga
- 3660 Arlington Ave
- Riverside, CA
- Zip : 92506-3912
- Fax : (915) 697-5508
- Phone : (915) 697-5500
Second Address
- Edward Anthony Matuga
- 6405 Day St
- Riverside, CA
- Zip : 92507-0901
- Fax : (951) 697-5508
- Phone : (951) 697-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | G39457 | CA |
National Provider Identifier
| NPI | 1003890682 |
|---|---|
| Provider Name | Edward Anthony Matuga |
| First Address | Riverside, CA 92506-3912 |
| Second Address | Riverside, CA 92507-0901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1730180415 | GOUP NPI (01) | |
| B44516 | (02) | |
| ZZZ92058Z | GROUP SIDE LOCATION (01) |
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.