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NPI Code Detail

MEDICARE: MATTHEW ROCES

MEDICARE: MATTHEW ROCES
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianA198251CA

General Provider Information

NPI Number : 1093463093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW ROCES
Provider Business Mailing Address
First Line : 1100 GLENDON AVE STE 1200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-3516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 GLENDON AVE STE 1200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-3516
Country : US
Telephone Number : 310-794-0785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2022
Last Update Date : 05/09/2025

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Directions to “ MATTHEW ROCES ” Practice Location

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