Matsumoto, Michael K.

Matsumoto, Michael K. is an individual health care provider with primary practice located at 97 San Marin Dr , Novato CA 94945-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Matsumoto, Michael K. can be contacted via phone (415) 899-7400.

Contact Information

Primary practice address
97 San Marin Dr Novato CA 94945-1100
Phone: (415) 899-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A62907 California

Profile Details

NPI number 1295819266
LBN Legal business name Matsumoto, Michael K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Nov 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295819266 NPPES
California MEDICAID 00A629070

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