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General NPI Number Information
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NPI Number | 1841343548
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Entity Type | Individual
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Provider Name | MATTHEW JOAQUIN DI FRANCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 502 EUCLID AVE STE 202
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2985
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Country | US
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Telephone | 619-267-1022
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Fax | 619-267-5680
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Provider Business Mailing Address
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Address Line | PO BOX 436484
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City | SAN YSIDRO
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State | CA
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Zip | 92143-6484
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Country | US
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Telephone | 619-290-8744
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G58994
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License Number State | CA
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