Gentile, Matthew William
Gentile, Matthew William is an sole proprietor health care provider with primary practice located at 4150 Regents Park Row Ste 160, La Jolla CA 92037. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gentile, Matthew William can be contacted via phone (858) 450-9400.Contact Information
Primary practice address
4150 Regents Park Row Ste 160
La Jolla CA 92037
Phone: (858) 450-9400
Fax: (858) 546-8224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8079T | California |
Profile Details
| NPI number | 1487615423 |
|---|---|
| LBN Legal business name | Gentile, Matthew William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Oct 30th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487615423 | NPPES |
| California | MEDICAID | SD0080790 |
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