Individual
AIJAZ MATHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12458 WASHINGTON BLVD, WHITTIER, CA 90602-1005
(562) 945-1111
Mailing address
12458 WASHINGTON BLVD, WHITTIER, CA 90602-1005
(562) 945-1111
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP003349
CERTIFICATION
CA
Enumeration date
01/31/2023
Last updated
01/31/2023
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