Healthcare Provider Details

I. General information

NPI: 1154256188
Provider Name (Legal Business Name): ALLISON MATTHEWS LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27625 SHERMAN RD
MENIFEE CA
92585-9291
US

IV. Provider business mailing address

30639 BENDING BRANCH LN
MURRIETA CA
92563-0527
US

V. Phone/Fax

Practice location:
  • Phone: 951-679-8356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number258208
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: