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Organization
MOUSA MATAR MD INC
Active
Organization
MOUSA MATAR MD INC
Active
Parent organization
MOUSA MATAR MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUSA MATAR MD INC
Authorized official
MOUSA MATAR MD (MD)
(773) 814-8200
Entity
Organization
Contact information
Practice address
4440 BROCKTON AVE STE 100, RIVERSIDE, CA 92501-4026
(773) 814-8200
(951) 788-6380
Mailing address
PO BOX 1810, UPLAND, CA 91785-1810
(773) 814-8200
(951) 750-1091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
02/20/2023
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