Matthew D. Wade, ATC
Athletic Trainer · La Mirada, CA
NPI number
1306304647
Practice location
14131 Fonseca AveLa Mirada, CA 90638-3919
- Phone
- (562) 704-9957
NPI record
- NPI
- 1306304647
- Entity type
- Individual (Type 1)
- Enumeration date
- March 5, 2019
- Last updated
- March 5, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Matthew Wade
Matthew D. Wade, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 14131 Fonseca Ave, La Mirada, CA 90638-3919. The NPI number 1306304647 was assigned on March 5, 2019 and the record was last updated on March 5, 2019.
Frequently asked questions
What is the NPI number of Matthew D. Wade, ATC?
The NPI number is 1306304647.
What is the phone number of Matthew Wade?
The phone number listed for the practice location is (562) 704-9957.
Where is Matthew Wade located?
14131 Fonseca Ave, La Mirada, CA 90638-3919.
What is the taxonomy code for Matthew Wade?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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