Jodi Leslie Matsuo, RD | |
78-6831 Alii Dr Ste B-110, Kailua Kona, HI 96740-2495 | |
(808) 443-6099 | |
Not Available |
Full Name | Jodi Leslie Matsuo |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 78-6831 Alii Dr Ste B-110, Kailua Kona, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720582869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 30-LD (Hawaii) | Primary |
Provider Name | Leon Matsuo Md Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073019162 PECOS PAC ID: 6305100736 Enrollment ID: O20180510001009 |
Mailing Address | Practice Location Address |
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Jodi Leslie Matsuo, RD Po Box 312, Captain Cook, HI 96704-0312 Ph: () - | Jodi Leslie Matsuo, RD 78-6831 Alii Dr Ste B-110, Kailua Kona, HI 96740-2495 Ph: (808) 443-6099 |
Ms. Vivienne W Aronowitz, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 74-517 Honokohau St, Kailua Kona, HI 96740 Phone: 808-334-4400 | |
Janine Maira, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 73-1408 Kaiminani Dr, Kailua Kona, HI 96740 Phone: 808-345-4299 | |
Ms. Terri L Ryan, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 75-184 Hualalai Rd Ste 203, Kailua Kona, HI 96740 Phone: 808-329-9211 Fax: 808-329-0009 | |
Sage Malone, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 78-7070 Alii Dr Apt D206, Kailua Kona, HI 96740 Phone: 717-747-6551 | |
Diabetes And Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 75-184 Hualalai Rd Ste 203, Kailua Kona, HI 96740 Phone: 808-329-9211 Fax: 808-329-0009 |