Dr. Ronald Mathiasen, MD
Otolaryngology in San Diego, CA. Individual provider (NPI-1).
NPI number1790740629
StatusActive
Last updated in NPPESJun 25, 2013
Details
- NPI
- 1790740629
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald Mathiasen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Last updated
- Jun 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | A064829 | CA | Yes |
Practice location
10670 Wexford StSan Diego, CA 92131-3940
Phone 858-621-4090 · Fax 858-621-4044
Mailing address
10670 Wexford StSan Diego, CA 92131-3940
Phone 858-621-4090 · Fax 858-621-4044
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