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DR. MATTHEW DEARDORFF MD PHD NPI 1164541181


NPI Information

NPI: 1164541181
Provider Name: DR. MATTHEW DEARDORFF, MD, PHD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
4650 W SUNSET BLVD # MS 43
LOS ANGELES, CA
ZIP 90027
Phone: (877) 543-9522
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DR. Matthew Deardorff, MD, PHD is a clinical genetics (m.d.) medical genetics in Los Angeles, CA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Matthew Deardorff, MD, PHD NPI is 1164541181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4650 W SUNSET BLVD # MS 43
LOS ANGELES, CA
ZIP 90027-062
Phone: (877) 543-9522

The NPI 1164541181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 4/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)C168510CALIFORNIAYes
2207SG0201XMedical GeneticsClinical Genetics (M.D.)MD421927PENNSYLVANIANo
3208000000XPediatricsMD421927PENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.