MEDICARE: DR. MATTHEW TROKEL MD

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	208000000X	Pediatrics Physician	209851	MA
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	C160123	CA
3	208000000X	Pediatrics Physician	C160123	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487637260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW TROKEL MD

Provider Business Mailing Address
First Line	:	1900 GARDEN RD STE 110
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-5334
Country	:	US
Telephone Number	:	650-497-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 GARDEN RD STE 110
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-5334
Country	:	US
Telephone Number	:	650-497-8000
Fax Number	:

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

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	07/01/2019

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Directions to “ DR. MATTHEW TROKEL MD” Practice Location

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