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NPI Code Detail

MEDICARE: MATTHEW MALERICH

MEDICARE: MATTHEW MALERICH
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
1207XS0106XOrthopaedic Hand Surgery PhysicianG28553CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437154853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW MALERICH
Provider Business Mailing Address
First Line : PO BOX 1710
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1710
Country : US
Telephone Number : 661-324-0300
Fax Number : 661-324-4095
Provider Business Practice Location Address
First Line : 400 OLD RIVER RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-9781
Country : US
Telephone Number : 661-663-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/02/2010

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