Individual
CAITLIN MATSUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
299 W FOOTHILL BLVD STE 209, UPLAND, CA 91786-3806
(909) 982-4000
Mailing address
299 W FOOTHILL BLVD STE 209, UPLAND, CA 91786-3806
(909) 982-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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