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NPI Code Detail

MEDICARE: MATTHEW WADE M.D.

MEDICARE:   MATTHEW  WADE  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
1207WX0120XCornea and External Diseases Specialist PhysicianA107728CA
2207W00000XOphthalmology PhysicianA107728CA

General Provider Information

NPI Number : 1750544755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW WADE M.D.
Provider Business Mailing Address
First Line : 118 MED SURGE I
Second Line :
City : IRVINE
State : CA
Zip : 92697-4375
Country : US
Telephone Number : 949-824-0158
Fax Number :
Provider Business Practice Location Address
First Line : 118 MED SURGE I
Second Line :
City : IRVINE
State : CA
Zip : 92697-4375
Country : US
Telephone Number : 949-824-0158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2008
Last Update Date : 01/31/2025

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