Daniel Matemotja Md Inc | |
3737 Martin Luther King Jr Blvd Suite 106 Lynwood CA 90262-3513 | |
(310) 637-0318 | |
(310) 637-6722 |
Full Name | Daniel Matemotja Md Inc |
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Speciality | General Practice |
Location | 3737 Martin Luther King Jr Blvd, Lynwood, California |
Authorized Official Name and Position | Daniel Matemotja (OWNER/MEDICAL DOCTOR) |
Authorized Official Contact | 3106370318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Daniel Matemotja Md Inc 3737 Martin Luther King Jr Blvd Suite 106 Lynwood CA 90262-3513 Ph: (310) 637-0318 | Daniel Matemotja Md Inc 3737 Martin Luther King Jr Blvd Suite 106 Lynwood CA 90262-3513 Ph: (310) 637-0318 |
NPI Number | 1467622076 |
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Provider Enumeration Date | 03/11/2008 |
Last Update Date | 03/11/2008 |
Identifier | Type | State | Issuer |
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1467622076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A35512 (California) | Primary |
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