Individual
DR. SHANTHA V MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Mailing address
13283 CAMINITO MENDIOLA, PO BOX 3562, SAN DIEGO, CA 92130
(858) 259-1026
(858) 259-1512
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C50620
CA
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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