Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A72975 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | A72975 | CA |
NPI | 1265470553 |
---|---|
Provider Name | Dr. Matthew J Meunier |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-8201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 27/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A729750 | (05) | CA |
H24515 | (02) | CA |