# LIGHT MATTER SOLUTIONS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457816332
- **Authorized official:** JACOB KALLIATH DO (SOLE OWNER)
- **Authorized official phone:** (256) 810-2308

## Contact information

- **Practice address:** 333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
- **Practice address phone:** (702) 453-3799
- **Practice address fax:** (702) 453-5741
- **Mailing address:** 2660 CRIMSON CANYON DR STE 130, LAS VEGAS, NV 89128-0846
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 02/05/2019