Matthew Kenichi Paul in Redding - Sports Medicine
Matthew Kenichi Paul - NPI 1710943816
Matthew Kenichi Paul is a Sports Medicine in Redding, California. Matthew Kenichi Paul practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Matthew Kenichi Paul is 1710943816. The last update date is 2023-04-17.
Matthew Kenichi Paul's current location address is 2662 Edith Ave, Redding, California. You can contact this provider via phone number 5303950340 and fax number 5302556107. The mailing address for Matthew Kenichi Paul is 2662 Edith Ave, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Kenichi Paul |
|---|---|
| Address | 2662 Edith Ave, Redding, California |
| Phone Number | 5303950340 |
| Fax Number | 5302556107 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710943816 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2023-04-17 |
Provider Mailing Address Detail
| Address | 2662 Edith Ave |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960013043 |
| Phone Number | 5303950340 |
| Fax Number | 5302556107 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | A94289 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710943816 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew Kenichi Paul by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew Kenichi Paul has been assigned the NPI (National Provider Identifier) 1710943816. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Matthew Kenichi Paul's facilities are situated?
The facilities of Matthew Kenichi Paul are physically located at the following address: 2662 Edith Ave, Redding, CA, 960013043.
What is Matthew Kenichi Paul's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Matthew Kenichi Paul is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.
When did the Matthew Kenichi Paul receive its 1710943816?
The Matthew Kenichi Paul was issued its 1710943816 on 2006-04-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Matthew Kenichi Paul last refreshed?
The information related to the Matthew Kenichi Paul, including its address, specialty, and other relevant details, was last updated on 2023-04-17.