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

Individual provider Acupuncturist · NPI 1003371121

Kenji Matsusaka, LAC is an Acupuncturist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4847 Newport Ave
San Diego, CA 92107-3110
Phone: (619) 550-9747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 17442 (CA)

Record details

NPI number1003371121
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedFebruary 2, 2019
Last updated in NPPESFebruary 2, 2019

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