MEDICARE: OSCAR A MATTHEWS M.D.

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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1053536482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSCAR A MATTHEWS M.D.

Provider Business Mailing Address
First Line	:	3156 VISTA WAY
Second Line	:	SUITE 405
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-3622
Country	:	US
Telephone Number	:	760-439-6581
Fax Number	:	760-439-6585

Provider Business Practice Location Address
First Line	:	26928 CHERRY HILLS BLVD
Second Line	:	SUITE B
City	:	SUN CITY
State	:	CA
Zip	:	92586-2574
Country	:	US
Telephone Number	:	951-672-6050
Fax Number	:	951-673-6055

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	OSCAR MATTHEWS
Credential	:	M.D.
Telephone Number	:	951-672-6050

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	06/26/2008

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