Provider Demographics
NPI:1770655078
Name:MATSUNAGA, ALISON T (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:T
Last Name:MATSUNAGA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5528 PACHECO BLVD
Mailing Address - Street 2:#A
Mailing Address - City:PACHECO
Mailing Address - State:CA
Mailing Address - Zip Code:94553
Mailing Address - Country:US
Mailing Address - Phone:925-363-8170
Mailing Address - Fax:925-363-4995
Practice Address - Street 1:747 52ND STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609
Practice Address - Country:US
Practice Address - Phone:510-428-3372
Practice Address - Fax:510-601-3916
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG631272080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G631270Medicaid