Search › California › 101Y00000X
Fred Mata
NPI 1720249295 · on the registry since 2008
Practice
- Address
- 1885 Lundy Ave
Ste 223
San Jose, CA 95131 - Phone
- (408) 503-7960
- Organisation at this address
- Starlight Community Center
Five Branches University Inc
Starlight Community Services
Starlight Community Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 229
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2008-06-18
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