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Jose Mata

NPI 1578807681 · on the registry since 2012 · sole proprietor

Practice

Address
4760 Sepulveda Blvd
Culver City, CA 90230
Phone
(917) 861-9671
Organisation at this address
Via Avanta
Didi Hirsch Mental Health Services
Didi Hirsch Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
638

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
390200000X
Sex
Male
Record last updated
2014-01-06

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