Healthcare Provider Details

I. General information

NPI: 1942487343
Provider Name (Legal Business Name): MATTHEW DAVID COLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 SAN MIGUEL DR SUITE 200
NEWPORT BEACH CA
92660-7818
US

IV. Provider business mailing address

369 SAN MIGUEL DR STE 200
NEWPORT BEACH CA
92660-7850
US

V. Phone/Fax

Practice location:
  • Phone: 949-439-9288
  • Fax:
Mailing address:
  • Phone: 949-439-9288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA98152
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA98152
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: