MEDICARE: DR. MATTHEW L GREENBERGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	A70624	CA

General Provider Information

NPI Number	:	1437161668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW L GREENBERGER M.D.

Provider Business Mailing Address
First Line	:	1801 N BROADWAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2607
Country	:	US
Telephone Number	:	714-693-1915
Fax Number	:	714-693-1127

Provider Business Practice Location Address
First Line	:	1801 N BROADWAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2607
Country	:	US
Telephone Number	:	714-693-1915
Fax Number	:	714-693-1127

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/09/2024

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