Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A86044 | CA |
NPI | 1023075108 |
---|---|
Provider Name | Dr. Matthew S. Falk |
First Address | Martinez, CA 94553-4668 |
Second Address | Martinez, CA 94553-4668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 11/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0A8604400 | (05) | CA |
I33305 | (02) | CA |