Individual
DR. JON STACEY MATSUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 970W, SANTA MONICA, CA 90404-2199
(310) 829-7878
(310) 453-5586
Mailing address
2001 SANTA MONICA BLVD, #970-W, SANTA MONICA, CA 90404-2102
(310) 829-7878
(310) 453-5586
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G50159
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G50159
CA
Other
Enumeration date
09/28/2006
Last updated
04/19/2021
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