Individual
MATTHEW ROY ISAACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1714 FAIR OAKS AVE APT 3, SOUTH PASADENA, CA 91030-4727
(714) 642-0034
Mailing address
1714 FAIR OAKS AVE APT 3, SOUTH PASADENA, CA 91030-4727
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95012423
CA
Other
Enumeration date
09/04/2019
Last updated
10/27/2023
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