MEDICARE: MATTHEW HOWARD COBB D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	139483	CA
2	111N00000X	Chiropractor	DC31153	CA

General Provider Information

NPI Number	:	1023258548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW HOWARD COBB D.C.

Provider Business Mailing Address
First Line	:	1606 N LAUREL AVE
Second Line	:	APT#236
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-2566
Country	:	US
Telephone Number	:	323-317-1205
Fax Number	:

Provider Business Practice Location Address
First Line	:	1606 N LAUREL AVE
Second Line	:	APT#236
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-2566
Country	:	US
Telephone Number	:	323-317-1205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	07/11/2023

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