MEDICARE: DR. MATTHEW JOAQUIN DI FRANCO 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	208000000X	Pediatrics Physician	G58994	CA

General Provider Information

NPI Number	:	1841343548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW JOAQUIN DI FRANCO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 436484
Second Line	:
City	:	SAN YSIDRO
State	:	CA
Zip	:	92143-6484
Country	:	US
Telephone Number	:	619-290-8744
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 EUCLID AVE STE 202
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2985
Country	:	US
Telephone Number	:	619-267-1022
Fax Number	:	619-267-5680

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	12/23/2014

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