Matsueda, Richard Roy
Matsueda, Richard Roy is an sole proprietor health care provider with primary practice located at 17511 Crenshaw Blvd , Torrance CA 90504-3403. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Matsueda, Richard Roy can be contacted via phone (310) 323-3900.Contact Information
Primary practice address
17511 Crenshaw Blvd
Torrance CA 90504-3403
Phone: (310) 323-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30596 | California |
Profile Details
| NPI number | 1962569707 |
|---|---|
| LBN Legal business name | Matsueda, Richard Roy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962569707 | NPPES |
| California | Other | 30596 | STATE DENTAL LICENSE |
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