MEDICARE: MATTHEW L GREENBERGER MD PROFESSIONAL CORPORATION

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

General Provider Information

NPI Number	:	1932306032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATTHEW L GREENBERGER MD PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1801 N BROADWAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2607
Country	:	US
Telephone Number	:	714-639-1915
Fax Number	:	714-639-1127

Provider Business Practice Location Address
First Line	:	1801 N BROADWAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2607
Country	:	US
Telephone Number	:	714-639-1915
Fax Number	:	714-639-1127

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MATTHEW L GREENBERGER
Credential	:	MD
Telephone Number	:	714-936-1915

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	05/12/2026

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