Matthew J Roosevelt

Internal Medicine

San Diego, CA 92120

Male - 13 Yrs Experience - English

Location

4647 Zion Ave

San Diego, CA 92120

Phone number

(619) 528-5000

Summary

Matthew J Roosevelt is a Internal Medicine located at San Diego, CA 92120 and is affiliated with Kaiser Foundation Hospital - San Diego Hospitals. He received his medical degree from Other and has been in practice for more than 13 years.

Professional Identification

  1. NPI#: 1003142985
  2. PAC ID: 0446413033
  3. Clinician Enrollment ID: I20120517000508
  4. Gender: Male
  5. Enumeration: October 27 2009
  6. Last Updated: August 15 2016

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Other
  3. Graduation year: 2009
  4. Taxonomy: 207R00000X
  5. Specialty: Internal Medicine
  6. All specialties: Internal Medicine

Medical Practice

  1. Organization: Southern California Permanente Medical Group
  2. Group PAC ID: 6002729175
  3. Number of Group Members: 7612
  4. Medicare CCN: 050515
  5. Hospital affiliation: Kaiser Foundation Hospital - San Diego

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 4647 Zion Ave, San Diego CA 92120 (619) 528-5000

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