Individual
DR. MATTHEW RUSSELL CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 FIFTH AVE, MER 127, SAN DIEGO, CA 92103-2105
(619) 260-7125
(619) 686-3874
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(619) 260-7125
(619) 686-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
131315
CA
208M00000X
Hospitalist Physician
Primary
131315
CA
Other
Enumeration date
06/30/2011
Last updated
11/20/2019
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