Provider Demographics
NPI:1629275631
Name:MATCHISON, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:MATCHISON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2841 LOMITA BLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-257-0508
Mailing Address - Fax:310-325-8109
Practice Address - Street 1:2841 LOMITA BLVD
Practice Address - Street 2:SUITE 235
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5116
Practice Address - Country:US
Practice Address - Phone:310-517-8950
Practice Address - Fax:310-326-6080
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2017-04-14
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Provider Licenses
StateLicense IDTaxonomies
CAA97926207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease