Matsuoka, Lea Kiku
Matsuoka, Lea Kiku is an individual health care provider with primary practice located at 2335 Stockton Blvd , Sacramento CA 95817-2201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Matsuoka, Lea Kiku can be contacted via phone (310) 989-1806.Contact Information
Primary practice address
2335 Stockton Blvd
Sacramento CA 95817-2201
Phone: (310) 989-1806
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 56163 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A86822 | California |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | A86822 | California |
Profile Details
| NPI number | 1609046069 |
|---|---|
| LBN Legal business name | Matsuoka, Lea Kiku |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2008 |
| Last updated | May 22nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609046069 | NPPES |
| California | Other | 00A868220 | BLUE SHIELD PROVIDER NUMBER |
| California | MEDICAID | 00A868220 | BLUE SHIELD PROVIDER NUMBER |
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