Provider Demographics
NPI:1457441982
Name:KURTH, MATTHIAS C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MATTHIAS
Middle Name:C
Last Name:KURTH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13044 WALKING PATH PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-1822
Mailing Address - Country:US
Mailing Address - Phone:619-987-7861
Mailing Address - Fax:
Practice Address - Street 1:13044 WALKING PATH PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-1822
Practice Address - Country:US
Practice Address - Phone:619-987-7861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA447862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology