Individual
DR. MATTHEW BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 BATH ST STE 208, SANTA BARBARA, CA 93105-5322
(805) 569-2964
(805) 569-2064
Mailing address
20 EXECUTIVE PARK STE 155, IRVINE, CA 92614-4733
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
56873
WI
2085R0202X
Diagnostic Radiology Physician
Primary
A125819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1258190
BS OF CA
CA
05
—
1669653861
—
CA
Enumeration date
11/16/2007
Last updated
12/30/2013
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