Carlos, Norberto Mata
Carlos, Norberto Mata is an sole proprietor health care provider with primary practice located at 41715 Winchester Rd , Temecula CA 92590-4808. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carlos, Norberto Mata can be contacted via phone (951) 719-1414.Contact Information
Primary practice address
41715 Winchester Rd
Temecula CA 92590-4808
Phone: (951) 719-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS24788 | California |
Profile Details
| NPI number | 1275622672 |
|---|---|
| LBN Legal business name | Carlos, Norberto Mata |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275622672 | NPPES |
| California | Other | FB076Z | MEDICARE PTAN |
| California | Other | W14158 | MEDICARE PTAN |
| California | Other | ZZZ20041Z | MEDICARE PTAN |
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