MEDICARE: MATTHEW EVAN LYON

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	101YM0800X	Mental Health Counselor	ASW35084	CA
2	1041C0700X	Clinical Social Worker	LCSW81868	CA

General Provider Information

NPI Number	:	1043529720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW EVAN LYON

Provider Business Mailing Address
First Line	:	10767 ROSE AVE APT 8
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-4400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10767 ROSE AVE APT 8
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-4400
Country	:	US
Telephone Number	:	213-537-9780
Fax Number	:

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

Provider Enumeration Date	:	09/29/2010
Last Update Date	:	03/26/2024

Similar Medicare Providers

1235141144 — HAMLET MINASVAND PROF CORP
Practice Location Address:

7188 W SUNSET BLVD , UNIT 200
LOS ANGELES, CA
90046-4400

Practice Phone: 818-439-2021
Practice Fax:

1811033699 — DR. ENRIQUE TAMAYO DDS
Practice Location Address:

4400 S BROADWAY STE 103
LOS ANGELES, CA
90037-2792

Practice Phone: 323-233-9400
Practice Fax: 323-233-9977

1184837957 — OCB MEDICAL EQUIPMENT AND SUPPLY
Practice Location Address:

3560 S LA CIENEGA BLVD , SUITE D
LOS ANGELES, CA
90016-4400

Practice Phone: 323-954-8296
Practice Fax: 323-954-8297

1790945343 — PREFERRED RX, INC.
Practice Location Address:

3560 S LA CIENEGA BLVD STE B
LOS ANGELES, CA
90016-4400

Practice Phone: 323-939-3900
Practice Fax: 323-939-3909

1831412832 — CARLA ANNETTE PEAY M.P.T.
Practice Location Address:

7188 W SUNSET BLVD , SUITE 200
LOS ANGELES, CA
90046-4400

Practice Phone: 323-436-0006
Practice Fax:

1598166464 — GEORGETTE ZOUEIN DENTAL CORP
Practice Location Address:

4400 S BROADWAY STE 103
LOS ANGELES, CA
90037-2792

Practice Phone: 323-233-9400
Practice Fax: 323-233-9977

Directions to “ MATTHEW EVAN LYON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.