Individual provider · Type 1 NPI
Vincent Mattiello
Electroneurodiagnostic Specialist/Technologist · Marina Del Rey, CA
NPI number
1285123588
Active
Practice location
13924 Marquesas Way Apt 2302
Marina Del Rey, CA 90292-6020
Fax (303) 922-4640
Mailing address
PO Box 280113
Lakewood, CO 80228-0113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1285123588
Vincent Mattiello's National Provider Identifier is 1285123588, issued on May 2, 2018. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Marina Del Rey, CA. The record was last updated on May 2, 2018.