Individual
JOHN MATTHEW CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(877) 574-0002
Mailing address
1515 N VERMONT AVE, LOS ANGELES, CA 90027-5337
(323) 783-4640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A115299
CA
Other
Enumeration date
05/12/2012
Last updated
11/06/2021
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