Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mavis N Matsumoto, MD, LLC

Organization Non-Pharmacy Dispensing Site · NPI 1902174741

Mavis N Matsumoto, MD, LLC is a Non-Pharmacy Dispensing Site in Henderson, Nevada. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2780 W Horizon Ridge Pkwy Ste 30
Henderson, NV 89052-3995
Phone: (702) 992-4050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1902174741
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMavis N Matsumoto, MD, LLC
Authorized official Mavis Matsumoto — Owner · (702) 992-4050
NPI enumeratedDecember 8, 2011
Last updated in NPPESApril 15, 2013
Mailing address2980 N Beverly Glen Cir, Suite 301, Los Angeles, CA 90077-1726

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