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1487172631
JOSE A MATADAMA
LOS ANGELES, CA
NPI
1487172631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY34822)
Enumeration Date
2017-09-07
Last Update Date
2024-05-07
Business Address
Mr. JOSE A MATADAMA
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-668-4447
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Mailing Address
Mr. JOSE A MATADAMA
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336-1242
Phone number: 760-808-5177
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