Individual
ANNA JOHN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO STREET, 2ND FLOOR LAB, LOS ANGELES, CA 90033-4500
(323) 442-2582
Mailing address
P. O BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-2582
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A116340
CA
Other
Enumeration date
05/08/2013
Last updated
11/10/2020
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