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Individual

BRENT MATTHEW MATSUNAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(472) 104-3417
Mailing address
3529 SHOREHEIGHTS DR, MALIBU, CA 90265-5646
(310) 560-6704

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A128830
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A128830
CA

Other

Enumeration date
04/01/2012
Last updated
04/09/2024
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