| NPI | 1437452539 |
|---|---|
| Former Legal Business Name | DAVID J MATA, M.D. |
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH MATA President 951-765-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA G64183) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |