Individual
MR. FROILAN FELIPE M. MATONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
Mailing address
5958 RANCHO MISSION RD UNIT 206, SAN DIEGO, CA 92108-2549
(619) 684-5235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
795893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5584841
DMV LICENSE
CA
Enumeration date
05/16/2012
Last updated
05/16/2012
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