Individual
EDWARD ANTHONY MATUGA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5500
(951) 697-5508
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
(915) 697-5500
(915) 697-5508
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G39457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GOUP NPI
—
01
—
ZZZ92058Z
GROUP SIDE LOCATION
—
Enumeration date
12/06/2005
Last updated
07/08/2007
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