MEDICARE: MATTHEW L HECHT 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	207W00000X	Ophthalmology Physician	A064034	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1184783508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW L HECHT M D

Provider Business Mailing Address
First Line	:	4161 REDONDO BEACH BLVD
Second Line	:	STE 300
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3306
Country	:	US
Telephone Number	:	310-370-5648
Fax Number	:

Provider Business Practice Location Address
First Line	:	4161 REDONDO BEACH BLVD
Second Line	:	STE 300
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3306
Country	:	US
Telephone Number	:	310-370-5648
Fax Number	:

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	04/27/2017

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Directions to “ MATTHEW L HECHT M D” Practice Location

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