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Edward Mata

NPI 1265655146 · on the registry since 2007

Practice

Address
500 W Hospital Rd.
French Camp, CA 95231
Phone
(209) 468-6857
Organisation at this address
San Joaquin General
County Of San Joaquin
County Of San Joaquin
County Of San Joaquin
County Of San Joaquin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
585

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California