Matsumoto, Larry

Matsumoto, Larry is an individual health care provider with primary practice located at 2105 Forest Ave , San Jose CA 95128-1425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Matsumoto, Larry can be contacted via phone (408) 947-2501.

Contact Information

Primary practice address
2105 Forest Ave San Jose CA 95128-1425
Phone: (408) 947-2501
Fax: (408) 283-7745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G25060 California

Profile Details

NPI number 1275528721
LBN Legal business name Matsumoto, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275528721 NPPES
California MEDICAID 00G250600

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