Matthew Kilthau Md Medical Corporation | |
956 Walnut St Ste 200 San Luis Obispo CA 93401-1707 | |
(805) 203-6474 | |
Not Available |
Full Name | Matthew Kilthau Md Medical Corporation |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 956 Walnut St Ste 200, San Luis Obispo, California |
Authorized Official Name and Position | Matthew Kilthau (PRESIDENT) |
Authorized Official Contact | 8052036474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Matthew Kilthau Md Medical Corporation 302 Washington St # 150-5243 San Diego CA 92103-2110 Ph: () - | Matthew Kilthau Md Medical Corporation 956 Walnut St Ste 200 San Luis Obispo CA 93401-1707 Ph: (805) 203-6474 |
NPI Number | 1457867053 |
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Provider Enumeration Date | 12/18/2017 |
Last Update Date | 04/01/2025 |
Certification Date | 04/01/2025 |
Identifier | Type | State | Issuer |
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1457867053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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