Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Paul Mata

Individual provider Pharmacist · NPI 1194310953

Kenneth Paul Mata is a Pharmacist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Phone: (818) 438-7279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 87473 (CA)

Record details

NPI number1194310953
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022

Other providers in Los Angeles