Jose Mata
Jose Mata is a Marriage & Family Therapist in Culver City, California. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone: (917) 861-9671
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1578807681 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 15, 2012 |
| Last updated in NPPES | January 6, 2014 |
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