Basic Information
| Provider Information | |||||||||
| NPI: | 1629275631 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MATCHISON | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2841 LOMITA BLVD. | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102570508 | ||||||||
| FaxNumber: | 3103258109 | ||||||||
| Practice Location | |||||||||
| Address1: | 2841 LOMITA BLVD | ||||||||
| Address2: | SUITE 235 | ||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905055116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105178950 | ||||||||
| FaxNumber: | 3103266080 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2007 | ||||||||
| LastUpdateDate: | 04/14/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | A97926 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RC0000X | A97926 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.