MAVIS N MATSUMOTO, MD, LLC; NPI #1902174741

Contact Information

MAVIS N MATSUMOTO, MD, LLC

2780 W HORIZON RIDGE PKWY
SUITE 30
HENDERSON, NV 89052-3995

Phone: 702-992-4050
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for MAVIS N MATSUMOTO, MD, LLC

NPI #	`1902174741`
LBN Legal business name	MAVIS N MATSUMOTO, MD, LLC
Authorized official	MAVIS MATSUMOTO - (OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	12/08/2011
Last updated	04/15/2013 - About 13 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MAVIS N MATSUMOTO, MD, LLC

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for MAVIS N MATSUMOTO, MD, LLC

Reviews for MAVIS N MATSUMOTO, MD, LLC