DR. MATTHEW K. COULSON (NPI# 1992899918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992899918 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW K. COULSON |
| Credential | M.D. |
| Practice Address |
26538 Moulton Pkwy Ste 38e Laguna Hills CA 92653 |
| Mailing Address |
26538 Moulton Pkwy Ste 38e Laguna Hills CA 92653-8232 |
| Practice Telephone | 9494480656 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A92076 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
26538 MOULTON PKWY STE 38E |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942543814 | Michael Lynn Chang | Family Medicine | 26538 Moulton Pkwy Ste 38e, Laguna Hills, CA 92653 | 2013-03-29 |
| 1437310059 | Sunil Gupta | Internal Medicine | 26538 Moulton Pkwy Ste 38e, Laguna Hills, CA 92653 | 2008-06-17 |
| 1003865627 | Theodore Sy | Internal Medicine | 26538 Moulton Pkwy Ste 38e, Laguna Hills, CA 92653 | 2006-05-09 |
| 1306828363 | Suchitra Mohindra | Family Medicine | 26538 Moulton Pkwy Ste 38e, Laguna Hills, CA 92653 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336534338 | Matthew Kornswiet | Pediatrics | 23521 Paseo De Valencia Ste 200, Laguna Hills, CA 92653-3101 | 2015-04-06 |
| 1952656084 | Chau Mong Tran | Pediatrics | 23521 Paseo De Valencia Suite 200, Laguna Hills, CA 92653-7797 | 2012-07-15 |
| 1386784338 | Kristina B Nylander | Pediatrics | 24422 Avenida De La Carlota Ste 130, Laguna Hills, CA 92653-3618 | 2007-02-07 |
| 1376800375 | Sarah Kay Selag Herrera | Pediatrics | 23521 Paseo De Valencia, Suite 200, Laguna Hills, CA 92653-3107 | 2012-04-13 |
| 1639374176 | Celia Hp Chiang | Pediatrics | 23961 Calle De La Magdalena, Suite 334, Laguna Hills, CA 92653-3616 | 2007-06-15 |
| 1003956350 | Dennis S Phillips | Pediatrics | 24953 Paseo De Valencia, #5a, Laguna Hills, CA 92653-4342 | 2007-02-07 |
| 1962542159 | Laguna Hills Pediatric Medical Group, Inc. | Pediatrics | 24953 Paseo De Valencia, #5a, Laguna Hills, CA 92653-4342 | 2007-02-07 |
| 1871639823 | Jonathan Paul Auth | Pediatrics | 23961 Calle De La Magdalena, Suite 334, Laguna Hills, CA 92653-3616 | 2007-01-29 |
| 1336203777 | Michael William Shannon | Pediatrics | 23961 Calle De La Magdalena, Suite 334, Laguna Hills, CA 92653-3616 | 2006-12-20 |
| 1518034941 | Sea View Pediatric Medical Assoc. Inc. | Pediatrics | 23961 Calle De La Magdalena, Suite 334, Laguna Hills, CA 92653-3616 | 2006-11-29 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.