Individual
CAL MATSUMOTO
Active
Individual
CAL MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
33199
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00678665
RAILROAD MEDICARE
DC
Enumeration date
10/10/2005
Last updated
03/09/2012
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