Individual
ALINA MATUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1550 SUPERIOR AVE, COSTA MESA, CA 92627-3653
(949) 270-2161
Mailing address
1550 SUPERIOR AVE, COSTA MESA, CA 92627-3653
(949) 270-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
540934
TX
363L00000X
Nurse Practitioner
Primary
786689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166757801
—
TX
01
—
166757802
CIDC
—
Enumeration date
08/12/2006
Last updated
02/02/2012
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