# BILL MATHEIS, INC.

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

## Provider details

- **NPI number:** 1891929493
- **Authorized official:** BILL M MATHEIS CRNA (OWNER/PRESIDENT)
- **Authorized official phone:** (951) 295-5707

## Contact information

- **Practice address:** 795 PLAYA BLANCA CIR, CORONA, CA 92879-7717
- **Practice address phone:** (951) 295-5707
- **Practice address fax:** (951) 279-5878
- **Mailing address:** 795 PLAYA BLANCA CIRCLE, CORONA, CA 92879
- **Mailing address phone:** (951) 295-5707
- **Mailing address fax:** (951) 279-5878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | NA 3057 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/11/2009