Provider Demographics
NPI:1023812336
Name:FIRCHAL, MATEUSZ (PA-C)
Entity type:Individual
Prefix:
First Name:MATEUSZ
Middle Name:
Last Name:FIRCHAL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:MATT
Other - Middle Name:
Other - Last Name:FIRCHAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:780 WELCH RD # MC5623
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1516
Mailing Address - Country:US
Mailing Address - Phone:650-723-0822
Mailing Address - Fax:650-497-8055
Practice Address - Street 1:780 WELCH RD # MC5623
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1516
Practice Address - Country:US
Practice Address - Phone:650-723-0822
Practice Address - Fax:650-497-8055
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty