Individual
JOSE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-3611
Mailing address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-3611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0116016220
VA
2084P0800X
Psychiatry Physician
036.121203
IL
2084P0800X
Psychiatry Physician
Primary
A106315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121206
—
IL
01
—
1336479278
MEDICARE
IL
Enumeration date
05/19/2008
Last updated
02/08/2017
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