Individual provider · Type 1 NPI
Matthew Jordan Nykiel, MD
Plastic and Reconstructive Surgery Physician · Upland, CA
NPI number
1063612802
Active
Practice location
1113 Alta Ave Ste 103
Upland, CA 91786-2803
Fax (949) 340-0696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME119656 (FL) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A120256 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
About NPI 1063612802
Matthew Jordan Nykiel, MD's National Provider Identifier is 1063612802, issued on Jul 19, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Upland, CA. The record was last updated on Feb 24, 2021.