Individual
MATTHEW CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
(310) 386-5470
Mailing address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038104
CA
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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