Individual
MATTHEW PAUL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(913) 461-9677
Mailing address
617 CABRILLO VILLAS, LOS ANGELES, CA 90042-5015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2019043388
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
95001019
CA
Other
Enumeration date
12/27/2018
Last updated
05/02/2025
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