Healthcare Provider Details

I. General information

NPI: 1487637260
Provider Name (Legal Business Name): MATTHEW TROKEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 07/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 GARDEN RD STE 110
MONTEREY CA
93940-5334
US

IV. Provider business mailing address

1900 GARDEN RD STE 110
MONTEREY CA
93940-5334
US

V. Phone/Fax

Practice location:
  • Phone: 650-497-8000
  • Fax:
Mailing address:
  • Phone: 650-497-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number209851
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberC160123
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC160123
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: