Individual
MATTHEW JOHN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 15TH ST STE 2100, SANTA MONICA, CA 90404-1101
(310) 319-1234
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A195864
CA
Other
Enumeration date
04/01/2019
Last updated
08/06/2024
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