SearchCalifornia1710I1002X

Matthew Honan, IDC

NPI 1659926293 · on the registry since 2019 · sole proprietor

Practice

Address
34101 Farenholt Ave
San Diego, CA 92134
Phone
(619) 532-7968
Organisation at this address
United States Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
491

Registry record

Primary taxonomy
1710I1002X
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-08

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