Mr Fernando U Mata, PAC | |
10200 Main St, Lamont, CA 93241-1700 | |
(661) 845-1788 | |
(661) 845-1791 |
Full Name | Mr Fernando U Mata |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 10200 Main St, Lamont, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063594117 | NPI | - | NPPES |
PA12281 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA12281 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Fernando U Mata, PAC 10200 Main St, Lamont, CA 93241-1700 Ph: (661) 845-1788 | Mr Fernando U Mata, PAC 10200 Main St, Lamont, CA 93241-1700 Ph: (661) 845-1788 |
Randolph Wilson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8787 Hall Road, Lamont, CA 93241 Phone: 661-845-3731 Fax: 661-845-1157 | |
Mr. Douglas Mitchell Hilton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8787 Hall Rd, Lamont, CA 93241 Phone: 661-635-3050 Fax: 661-326-1347 |