Mata, Giselle Alicia

Mata, Giselle Alicia is an individual health care provider with primary practice located at 1212 W 17Th St , Santa Ana CA 92706-3418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mata, Giselle Alicia can be contacted via phone (714) 377-2348.

Contact Information

Primary practice address
1212 W 17Th St Santa Ana CA 92706-3418
Phone: (714) 377-2348
Fax: (714) 377-2866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP19537 California

Profile Details

NPI number 1255659892
LBN Legal business name Mata, Giselle Alicia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated May 20th, 2016 - about 8 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.

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