Individual provider · Type 1 NPI

Matthew Roughley

Surgical Physician Assistant · Orange, CA

NPI number 1801497771 Active

Practice location

280 S Main St Ste 200
Orange, CA 92868-3852

Call (714) 937-2155 Map

Fax (714) 634-4321

Other practice locations

  • 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 · (661) 300-1328

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1801497771

Matthew Roughley's National Provider Identifier is 1801497771, issued on Nov 5, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orange, CA. The record was last updated on Sep 27, 2023.