NPI 1003142985

Matthew James Roosevelt, MD

Practitioner Internal Medicine Physician San Diego, CA

Practice location

Address: 4647 Zion Ave Department of Hospital Medicine, San Diego, CA 92120-2507
Phone: (619) 952-5091
Mailing address: 4746 Zion Ave. Department of Hospital Medicine, San Diego, CA 92120-0000

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence A114981 (CA)

Other Internal Medicine providers in California →

Registry record

NPI: 1003142985
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2009
Record last updated: 8 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.