Individual
DR. JAISHA MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E. DUARTE ROAD, DUARTE, CA 91010
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
279057
NY
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
A157235
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
A157235
CA
Other
Enumeration date
11/27/2013
Last updated
11/16/2020
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