Matsuura, Ian M

Matsuura, Ian M is an individual health care provider with primary practice located at 207 Palisades Ave , Santa Monica CA 90402-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Matsuura, Ian M can be contacted via phone (952) 595-1100.

Contact Information

Primary practice address
207 Palisades Ave Santa Monica CA 90402-2733
Phone: (952) 595-1100
Fax: (614) 294-4903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME85147 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G84323 California

Profile Details

NPI number 1447200266
LBN Legal business name Matsuura, Ian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 12th, 2014 - about 11 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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