Provider Demographics
NPI:1285830737
Name:NG, MATTHEW ELLIOT (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ELLIOT
Last Name:NG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 4TH AVE
Mailing Address - Street 2:#102
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1441
Mailing Address - Country:US
Mailing Address - Phone:703-887-8857
Mailing Address - Fax:
Practice Address - Street 1:UCSD MEDAICAL CENTER
Practice Address - Street 2:200 WEST ARBOR DR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103
Practice Address - Country:US
Practice Address - Phone:619-543-1849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program