Individual
MAYA MARY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-2395
(213) 977-2121
(213) 202-7028
Mailing address
630 MASSELIN AVE, #423, LOS ANGELES, CA 90036-5763
(323) 356-5816
(504) 988-3971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A113265
CA
208M00000X
Hospitalist Physician
Primary
A113265
CA
Other
Enumeration date
05/13/2008
Last updated
04/14/2017
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