Individual provider · Type 1 NPI

Matt Kyle Bermudez

Medical Physician Assistant · Santa Monica, CA

NPI number 1104631100 Active

Practice location

909 Pico Blvd
Santa Monica, CA 90405-1326

Call (310) 314-6200 Map

Mailing address

1075 Fox Ct
Colton, CA 92324-4587

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1104631100

Matt Kyle Bermudez's National Provider Identifier is 1104631100, issued on Feb 8, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Monica, CA. The record was last updated on Feb 8, 2025.