Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 20A18284 | CA |
NPI | 1003355629 |
---|---|
Provider Name | Dr. Matthew Mueller |
First Address | San Diego, CA 92193-2410 |
Second Address | La Jolla, CA 92093-1337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2017 |
Last Update Date | 07/06/2021 |