Provider Demographics
NPI:1932698495
Name:CIKRA, MATT J (DPM)
Entity Type:Individual
Prefix:
First Name:MATT
Middle Name:J
Last Name:CIKRA
Suffix:
Gender:M
Credentials:DPM
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Other - Last Name:
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Mailing Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 2200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-2476
Mailing Address - Country:US
Mailing Address - Phone:323-264-7600
Mailing Address - Fax:323-261-8027
Practice Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 2200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2476
Practice Address - Country:US
Practice Address - Phone:323-264-7600
Practice Address - Fax:323-261-8027
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE5787213ES0103X
PASC006939213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery