Liss Mathew
Liss Mathew is a Nurse Practitioner in Foothill Ranch, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 9
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
44 Tavella PlFoothill Ranch, CA 92610-2204
Phone: (949) 872-3369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 95006760 (CA) |
|---|
Record details
| NPI number | 1336669548 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 20, 2017 |
| Last updated in NPPES | November 18, 2021 |
| Mailing address | 44 Tavella Pl, Foothill Ranch, CA 92610-2204 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Foothill Ranch
-
Mrs. Parya Visheh
26730 Towne Centre Dr Ste 102, Foothill Ranch, CA 92610-2857 · (949) 559-5153