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Individual

MATTHEW RETTIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 UCLA MEDICAL PLZ STE 140, LOS ANGELES, CA 90095-3075
(310) 794-7152
(310) 794-1666
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A52586
CA
207RX0202X
Medical Oncology Physician
A52586
CA
208800000X
Urology Physician
A52586
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A525860
CA
Enumeration date
09/20/2006
Last updated
01/09/2020
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