Organization
TLC PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE K MATSUMOTO MD (OWNER)
(480) 940-8527
Entity
Organization
Contact information
Practice address
16611 S 40TH ST, SUITE# 160, PHOENIX, AZ 85048-0562
(480) 940-8527
(480) 940-8530
Mailing address
16611 S 40TH ST, SUITE# 160, PHOENIX, AZ 85048-0562
(480) 940-8527
(480) 940-8530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Enumeration date
05/22/2007
Last updated
07/21/2022
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