| Matthew Kilthau Md Medical Corporation | |
|
4080 Centre St Ste 105 San Diego CA 92103-2655 | |
| (646) 397-9014 | |
| Not Available |
| Full Name | Matthew Kilthau Md Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4080 Centre St Ste 105, San Diego, California |
| Authorized Official Name and Position | Matthew Kilthau (PRESIDENT) |
| Authorized Official Contact | 6463979014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Kilthau Md Medical Corporation 302 Washington St # 150-5243 San Diego CA 92103-2110 Ph: () - | Matthew Kilthau Md Medical Corporation 4080 Centre St Ste 105 San Diego CA 92103-2655 Ph: (646) 397-9014 |
| NPI Number | 1457867053 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 12/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457867053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 276841 (New York) | Primary |
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