Organization
BILL MATHEIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL M MATHEIS CRNA (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(310) 638-9391
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3057
CA
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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