Dr Ian M Matsuura, MD - Radiology in Santa Monica, CA

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Dr Ian M Matsuura, MD is a Radiology - Diagnostic Radiology physician based in Santa Monica, California. Dr Ian M Matsuura is licensed to practice in California (license number G84323) and his current practice location is 207 Palisades Ave, Santa Monica, California. He can be reached at his office (for appointments etc.) via phone at (952) 595-1100.

NPI number for Dr Ian M Matsuura is 1447200266 and his current mailing address is 11995 Singletree Ln, Suite 500, Eden Prairie, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447200266.

Contact Information

Dr Ian M Matsuura, MD
207 Palisades Ave,
Santa Monica, CA 90402-2733
(952) 595-1100
(614) 294-4903

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Physician's Profile

Full NameDr Ian M Matsuura
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location207 Palisades Ave, Santa Monica, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447200266
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 11/12/2014

Medical Identifiers

Medical identifiers for Dr Ian M Matsuura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447200266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME85147 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology G84323 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ian M Matsuura is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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