Provider Demographics
NPI:1528163730
Name:FINERMAN, MATTHEW L (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:L
Last Name:FINERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2080 CENTURY PARK E
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2001
Mailing Address - Country:US
Mailing Address - Phone:310-201-0717
Mailing Address - Fax:310-201-9665
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:SUITE 1700
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2001
Practice Address - Country:US
Practice Address - Phone:310-201-0717
Practice Address - Fax:310-201-9665
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35130207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG35130DMedicare ID - Type UnspecifiedMEDICARE NUMBER
CAA46224Medicare UPIN