Individual
MATTHEW THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6595
Mailing address
215 CANTOR, IRVINE, CA 92620-3836
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A133843
CA
Other
Enumeration date
06/25/2013
Last updated
10/19/2018
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