Individual
DR. ROY OOMEN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
A231100
NY
207RN0300X
Nephrology Physician
Primary
A89504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A231100
STATE LICENSE
NY
01
—
A89504
CA
CA
Enumeration date
08/03/2006
Last updated
01/29/2026
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