David J Mata, M.D.

LBN: David J. Mata, M.D., Inc
David J Mata, M.D. is an health care organization with primary practice located at 255 N Gilbert St Building B, Suite A, Hemet CA 92543-4066. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. David J. Mata, M.D., Inc can be contacted via phone (951) 765-1727, or through Mata, David Joseph via phone (951) 765-1727.

Contact Information

Primary practice address
255 N Gilbert St Building B, Suite A Hemet CA 92543-4066
Phone: (951) 765-1727
Fax: (951) 929-3601
Website:
Map and Directions
Authorized official contact:
Name: Mata, David Joseph Doctor of Medicine (MD)
Phone: (951) 765-1727

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X G64183 California

Profile Details

NPI number 1437452539
LBN Legal business name David J. Mata, M.D., Inc
DBA Doing business as David J Mata, M.D.
Authorized official Mata, David Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2010
Last updated Dec 10th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437452539 NPPES
California MEDICAID 00G641830

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