Healthcare Provider Details

I. General information

NPI: 1396543989
Provider Name (Legal Business Name): MATTHEW F MCLAUGHLIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 PARNASSUS AVE
SAN FRANCISCO CA
94143-2208
US

IV. Provider business mailing address

513 PARNASSUS AVE
SAN FRANCISCO CA
94143-2205
US

V. Phone/Fax

Practice location:
  • Phone: 916-716-0329
  • Fax:
Mailing address:
  • Phone: 916-716-0329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberPTL22554
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: