Olman Mata DC

NPI 1174688253 - Chiropractor - 111N00000X

NPI Details
NPI 1174688253
Gender Male
Enumeration Date 12/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
461 W BADILLO ST
COVINA CA, 91723-1834, US
Phone (626) 966-4469
Fax (626) 915-8929
Business Location
461 W BADILLO ST
COVINA CA, 91723, US
Phone (626) 966-4469
Fax (626) 915-8929
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 22763
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According to our database, Olman Mata DC NPI is 1174688253, taxonomy code is 111N00000X and license number is 22763, license state is located at California. Olman Mata DC physically located at 461 W Badillo St, Covina CA, 91723-1834. NPI Number Olman Mata DC has the Individual type.

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1174688253 NPI number is provided on an as is basis without warranty of any kind. 1174688253 is maintained by the National Plan & Provider Enumeration System. The contents of Olman Mata DC are for informational purposes only.