NPI 1003371121

Kenji Matsusaka, LAC

Practitioner Acupuncturist San Diego, CA

Practice location

Address: 4847 Newport Ave, San Diego, CA 92107-3110
Phone: (619) 550-9747
Mailing address: 1307 24th St, San Diego, CA 92102-2013

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 17442 (CA)

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Registry record

NPI: 1003371121
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2019
Record last updated: 2 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.