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NPI Code Detail

MEDICARE: ALINA MATUTES FNP

MEDICARE: ALINA MATUTES FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner540934TX
2363L00000XNurse Practitioner786689CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2166757802OTHERCIDC

General Provider Information

NPI Number : 1538171483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALINA MATUTES FNP
Provider Business Mailing Address
First Line : 1550 SUPERIOR AVE
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-3653
Country : US
Telephone Number : 949-270-2100
Fax Number :
Provider Business Practice Location Address
First Line : 1550 SUPERIOR AVE
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-3653
Country : US
Telephone Number : 949-270-2161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 02/02/2012

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