Organization · Type 2 NPI

Mavis N Matsumoto, Md, LLC

Non-Pharmacy Dispensing Site · Henderson, NV

NPI number 1902174741 Active

Practice location

2780 W Horizon Ridge Pkwy, Suite 30
Henderson, NV 89052-3995

Call (702) 992-4050 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

6 other providers at this address

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About NPI 1902174741

Mavis N Matsumoto, Md, LLC's National Provider Identifier is 1902174741, issued on Dec 8, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Henderson, NV. The record was last updated on Apr 15, 2013.