Individual
MATTHEW CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 16TH ST # C2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
(310) 319-4908
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A177194
CA
208M00000X
Hospitalist Physician
Primary
A177194
CA
Other
Enumeration date
03/18/2019
Last updated
03/01/2023
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