Dr Ian M Matsuura, MD | |
207 Palisades Ave, Santa Monica, CA 90402-2733 | |
(952) 595-1100 | |
(614) 294-4903 |
Full Name | Dr Ian M Matsuura |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 207 Palisades Ave, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447200266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME85147 (Florida) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | G84323 (California) | Primary |
Entity Name | Torrance Radiology Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457394264 PECOS PAC ID: 5496764755 Enrollment ID: O20060413000544 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian M Matsuura, MD 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Dr Ian M Matsuura, MD 207 Palisades Ave, Santa Monica, CA 90402-2733 Ph: (952) 595-1100 |
Dr. Oscar E Streeter Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403 Phone: 888-580-5900 Fax: 877-400-8093 | |
Vicki L. Schiller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-264-9000 Fax: 310-264-9004 | |
Dr. Seyed H Shahrokni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 | |
Ms. Keiko Aun Fukuda, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1245 16th St Ste 100, Santa Monica, CA 90404 Phone: 310-301-6800 | |
Lloyd David Wagner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 24th St, Santa Monica, CA 90402 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Khalid Kurbanali Javeri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 | |
Alberto Saucedo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-829-9788 Fax: 310-453-1576 |