Individual
KUSHAGRA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(877) 742-4624
Mailing address
3401 CORTE BREZO, CARLSBAD, CA 92009-8696
(714) 399-6573
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1619618550
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
07/11/2025
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