Individual
JOYCE MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UCLA DIVISION OF PEDIATRIC NEUROLOGY, 22-474 MDCC BOX 951752, LOS ANGELES, CA 90095-1752
(310) 825-6196
(310) 825-5834
Mailing address
UCLA DIVISION OF PEDIATRIC NEUROLOGY, 22-474 MDCC BOX 951752, LOS ANGELES, CA 90095-1752
(310) 825-0867
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A87710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A877100
—
CA
Enumeration date
02/15/2007
Last updated
09/10/2012
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