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Brian Mata

NPI 1902504194 · on the registry since 2023

Practice

Address
12021 South Wilmington Ave
Building 18 Suite 300
Los Angeles, CA 90059
Phone
(424) 454-6041
Organisation at this address
Healthright 360
Exodus Foundation
Exodus Recovery, Inc.
D Park Mph Dental, Inc.
Exodus Foundation For Recovery
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
Driver
172A00000X
Sex
Male
Record last updated
2023-02-17

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