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NPI Code Detail

MEDICARE: MR. MATTHEW STEPHEN NEUMANN

MEDICARE: MR. MATTHEW STEPHEN NEUMANN
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
1363A00000XPhysician Assistant64338CA

General Provider Information

NPI Number : 1598462699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW STEPHEN NEUMANN
Provider Business Mailing Address
First Line : 2220 C ST APT 305
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-1979
Country : US
Telephone Number : 805-423-3509
Fax Number :
Provider Business Practice Location Address
First Line : 9055 BALBOA AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1509
Country : US
Telephone Number : 619-849-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2023
Last Update Date : 06/25/2026

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Directions to “ MR. MATTHEW STEPHEN NEUMANN ” Practice Location

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