Provider Demographics
NPI:1275552598
Name:SPEISER, DAVID MATTHE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MATTHE
Last Name:SPEISER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:MATTHE
Other - Last Name:SPEISER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1444 WEMBLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-1942
Mailing Address - Country:US
Mailing Address - Phone:424-212-2417
Mailing Address - Fax:310-541-0042
Practice Address - Street 1:1444 WEMBLEY RD
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-1942
Practice Address - Country:US
Practice Address - Phone:310-608-9074
Practice Address - Fax:310-541-0042
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology