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Individual

MATTHEW J SHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6650 ALTON PKWY, ALTON/SAND CANYON MOB2, IRVINE, CA 92618-3734
(949) 932-2250
(949) 932-6353
Mailing address
441 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(949) 932-2250
(949) 932-6353

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01064106A
IN
208600000X
Surgery Physician
036109655
IL
208600000X
Surgery Physician
A105092
CA
208C00000X
Colon & Rectal Surgery Physician
01064106A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
036109655
IL
208C00000X
Colon & Rectal Surgery Physician
A105092
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
336071032
CONTROLLED SUBSTANCE #
IL
01
951750445
GROUP TAX ID #
CA
Enumeration date
07/31/2006
Last updated
03/07/2023
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