# JOEL E. MATA, M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Functional Restoration San Diego
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336845148
- **Authorized official:** DR. JOEL E MATA MD (OWNER/ PRACTITIONER)
- **Authorized official phone:** (858) 837-4477

## Contact information

- **Practice address:** 106 THORN ST, SAN DIEGO, CA 92103-5629
- **Practice address phone:** (619) 450-6532
- **Mailing address:** 106 THORN ST, SAN DIEGO, CA 92103-5629
- **Mailing address phone:** (619) 450-6532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2023
- **Last updated:** 02/02/2023