Stanford Kei Matsuno, MD Valid NPI

Individual provider · Family Medicine Physician · Redondo Beach, CA

NPI

1174592976

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

G074057 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-03-15

Last updated

2013-06-04