Mia Matsuda Kanak
MD, MPH | Pediatrics | Female
Mia Matsuda Kanak, MD, MPH is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mia Matsuda Kanak is
4650 W Sunset Blvd, Los Angeles, California - 90027-6062. She can be contacted on phone at
323-361-2109.
Mia Matsuda Kanak is a sole proprietor of her business.
NPI number (Unique professional ID) for Mia Matsuda Kanak is
1508251687 which was assigned by NPPES on 05 Apr, 2015 and it was last updated on 13 Jul, 2020.
Mia Matsuda Kanak license number is
A154810 for Pediatrics (208000000X) in California.
Mia Matsuda Kanak is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mia Matsuda Kanak basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mia Matsuda Kanak |
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| Credential : | MD, MPH |
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| Gender : | Female |
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Business Address:
Mia Matsuda Kanak address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4650 W Sunset Blvd
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-2109 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508251687 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Apr, 2015 |
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| Last Updated On : | 13 Jul, 2020 |
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Medicare Participation:
Mia Matsuda Kanak participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9234551557 |
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| Medicare Enrollment ID : | I20200615002544 |
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| Primary Specialty : | Emergency Medicine |
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| Medical School : | Stanford University School Of Medicine |
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| Graduation Year : | 2015 |
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| Accepts Medicare? | Yes. Mia Matsuda Kanak accepts medicare insurance. |
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Group Practice Association:
Mia Matsuda Kanak is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mia Matsuda Kanak is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Childrens Hospital Los Angeles Medical Group Inc | 0143126920 | 163 | 4650 W Sunset Blvd
Los Angeles, CA - 900276062
Ph: 3233618408 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mia Matsuda Kanak are as mentioned. Primary taxonomy code for Mia Matsuda Kanak, MD, MPH is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | A154810 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4650 W Sunset Blvd
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-2109 |
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Business Location:
Patients can refer following map for directions to
Mia Matsuda Kanak practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.