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 |