Matthew Louis MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MATTHEW LOUIS MD INC

Practice address

39000 Bob Hope Dr.
Bannan BLDG - Ste # 1109
Rancho Mirage, CA 92270

Phone

(760) 834-3790

Fax

(760) 834-3791

NPI assigned

Jun 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phillis McCullon

Title

Authorized Official

Phone

(760) 861-4966

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1982271599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E AVENIDA GRANADA UNIT 922",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922640438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR.",
            "address_2": "BANNAN BLDG - STE # 1109",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-834-3790",
            "fax_number": "760-834-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW LOUIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "MCCULLON",
        "authorized_official_first_name": "PHILLIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "760-861-4966"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danielle Kelly Mauch, MD
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• Nina Khin Maw Maw, M.D.
• Louis May, MD
• Janice E. Mayer, PA-C

• Family Medicine Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.