Individual
JOHN MATTHEW TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095-3075
(310) 794-5511
(310) 206-5511
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 206-8516
(310) 206-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G76297A
CA
207RH0003X
Hematology & Oncology Physician
Primary
G76297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G762970
—
CA
Enumeration date
07/20/2006
Last updated
01/23/2013
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