JORGE A MATA

SAN YSIDRO, CA
NPI1528150778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP00001381)
Enumeration Date2006-09-28
Last Update Date2021-12-01
Business Address
Dr. JORGE A MATA MD
4004 BEYER BLVD
SAN YSIDRO, CA 92173-2007
Phone number: 619-428-4463
Mailing Address
Dr. JORGE A MATA MD
4004 BEYER BLVD
SAN YSIDRO, CA 92173-2007
Phone number: 619-428-4463
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