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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 RecoveryInferred 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