Individual
MATHEW S ISHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 WASHINGTON ST, SUITE 821, SAN DIEGO, CA 92103-2213
(619) 686-4011
(619) 686-4041
Mailing address
4060 4TH AVE, STE 510, SAN DIEGO, CA 92103-2121
(619) 686-4011
(619) 686-4041
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A93470
CA
Other
Enumeration date
06/17/2006
Last updated
06/12/2020
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