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Individual
MATTHEW EVAN RIPS
Active
Individual
MATTHEW EVAN RIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62640
CA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62640
STATE
CA
Enumeration date
01/26/2023
Last updated
04/04/2024
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