| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Matthew Jay Kachinas | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Matthew | [sources] | |||
| Last name | Kachinas | [sources] | |||
| Middle name | Jay | [sources] | |||
| Registration number | 00G796740 · G79674 · ME0065595-FL | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 1590 Harbor Cay Ln., Longboat Key, FL · 26732 Crown Valley Pkwy., Ste. #541, Mission Viejo, CA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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