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Organization
DANIEL MATEMOTJA MD INC
Active
Organization
DANIEL MATEMOTJA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MATEMOTJA MD (OWNER/MEDICAL DOCTOR)
(310) 637-0318
Entity
Organization
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD, SUITE 106, LYNWOOD, CA 90262-3513
(310) 637-0318
(310) 637-6722
Mailing address
3737 MARTIN LUTHER KING JR BLVD, SUITE 106, LYNWOOD, CA 90262-3513
(310) 637-0318
(310) 637-6722
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A35512
CA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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