Mataka, John Richard

Mataka, John Richard is an individual health care provider with primary practice located at 1904 Richland Ave Bldg F , Ceres CA 95307-4562. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mataka, John Richard can be contacted via phone (209) 525-7411.

Contact Information

Primary practice address
1904 Richland Ave Bldg F Ceres CA 95307-4562
Phone: (209) 525-7411
Fax: (209) 541-2083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C5651214 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X M0412211519 California

Profile Details

NPI number 1821128661
LBN Legal business name Mataka, John Richard
Credentials RAS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jan 31st, 2020 - about 4 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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