Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ROLAND NOTHERN, NP PAC
ActiveMATTHEW ROLAND NOTHERN, NP PAC is a Physician Assistant healthcare provider located in LONG BECH, California. NPI 1124117700 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LONG BECH, CA
Registration Details
- NPI Number
- 1124117700
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.834737752696 yrs)
- Last Updated
- Aug 31, 2010
- Licenses
-
A16544 (CA)13855 (CA)
Practice Information
- Address
-
3200 LONG BEACH BOULEVARDLONG BECH, CA, 908065062Browse CA providers · Browse ZIP 90806
- Phone
- 5629816865
- Fax
- 5625956471
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.