Matthew Vierra, SUDRC

NPI 1164156485 · on the registry since 2022

Practice

Address: 37437 Glenmoor Dr
Fremont, CA 94536
Phone: (510) 713-3202
Fax: (510) 713-0684
Organisation at this address: Carnales Unidos Reformando Adictos
Carnales Unidos Reformandos Adictos
Carneles Unidos Reformando Adictos Incorporate
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California