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Matthew Joseph Enna

Orthopaedic Surgery

Allopathic & Osteopathic Physicians

9033 Wilshire Blvd, Suite 403, Beverly Hills, CA 90211-1837

PECOS Enrollment

This provider is enrolled in PECOS as MATTHEW ENNA.

Based on the most recent information from CMS, provider Matthew Joseph Enna is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1396797809
Provider Type
Individual
Full Name
Enna, Matthew Joseph
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/16/2006
Last Updated
9/12/2012

Contact Information

Practice Location

9033 Wilshire Blvd, Suite 403, Beverly Hills, CA 90211-1837

(310) 858-3880

(888) 589-6241

Mailing Location

9033 Wilshire Blvd, Suite 403, Beverly Hills, CA 90211-1837

(310) 858-3880

(888) 589-6241

Provider Taxonomies

Code	Description	License
Code 207X00000X Primary	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License A100628 California

Provider Identifiers

ID	Description	Issuer
ID 45-2457553	Description Other	Issuer CORPORATE TAX ID# California

Matthew Joseph Enna

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

California Orthopedic Medical Clinic Inc

International Orthopedic Center For Joint Disorders A Medical Corp

Rasoulispine Associates, Inc

Liberman, Keith E.

Yun, Andrew Glen

James J Reid Md Inc

Stephen P Kay Md, Inc

Reid, James

Bal M Rajagopalan Md Inc A Medical Corp

Beverly Hills Orthopedic Institute