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Grant Matsuura
NPI 1386064079 · on the registry since 2014 · sole proprietor
Practice
- Address
- 714 Triverton Ave
Los Angeles, CA 90095 - Phone
- (310) 206-3904
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California