Mata, Brian Jesse
Mata, Brian Jesse is an individual health care provider with primary practice located at 12021 South Wilmington Ave Building 18 Suite 300, Los Angeles CA 90059. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Mata, Brian Jesse can be contacted via phone (424) 454-6041.Contact Information
Primary practice address
12021 South Wilmington Ave Building 18 Suite 300
Los Angeles CA 90059
Phone: (424) 454-6041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1902504194 |
|---|---|
| LBN Legal business name | Mata, Brian Jesse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2023 |
| Last updated | Feb 17th, 2023 - about last year |
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.
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