Individual provider · Type 1 NPI

Matthew Paul Hartwell, SURFACE IDC

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1336867951 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Call (619) 532-6400 Map

Mailing address

307 Imperial Beach Blvd Apt A
Imperial Beach, CA 91932-2621

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336867951

Matthew Paul Hartwell, SURFACE IDC's National Provider Identifier is 1336867951, issued on Aug 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Aug 19, 2022.