DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW JOSEPH GENTILE, NAVY IDC

Active Sole Proprietor

MATTHEW JOSEPH GENTILE, NAVY IDC is a Independent Duty Corpsman healthcare provider located in VISTA, California. NPI 1205399136 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · VISTA, CA

Registration Details

NPI Number
1205399136
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2019 (7.3887909255673 yrs)
Last Updated
Apr 8, 2019
Sole Proprietor
Yes

Practice Information

Address
442 FLORENCIA LN
VISTA, CA, 920834810
Browse CA providers · Browse ZIP 92083
Phone
9494662013
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in VISTA, CA

Name Credential NPI
BONNIE BUENO 1548677198
MR. KEVIN ROBERT WILHELM SF-IDC 1659776599
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.