David J. Mata, M.d., Inc | |
255 N Gilbert St Building B, Suite A Hemet CA 92543-4066 | |
(951) 765-1727 | |
(951) 929-3601 |
Full Name | David J. Mata, M.d., Inc |
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Speciality | Clinic/center - Primary Care |
Location | 255 N Gilbert St, Hemet, California |
Authorized Official Name and Position | David Joseph Mata (PRESIDENT) |
Authorized Official Contact | 9517651727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David J. Mata, M.d., Inc 255 N Gilbert St Building B, Suite A Hemet CA 92543-4066 Ph: (951) 765-1727 | David J. Mata, M.d., Inc 255 N Gilbert St Building B, Suite A Hemet CA 92543-4066 Ph: (951) 765-1727 |
NPI Number | 1437452539 |
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Provider Enumeration Date | 12/10/2010 |
Last Update Date | 12/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437452539 | NPI | - | NPPES |
00G641830 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G64183 (California) | Primary |
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Tri-state Community Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N San Jacinto St Ste P, Hemet, CA 92543 Phone: 951-929-4000 | |
Sj Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 N San Jacinto St, Hemet, CA 92543 Phone: 951-566-6585 Fax: 888-696-2590 | |
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