Individual
MATTHEW SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MEDICAL PLZ STE 460, LOS ANGELES, CA 90095-3017
(310) 443-8999
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5352
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2014
Last updated
07/21/2022
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