# JOEL M. MATTA, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689704355
- **Authorized official:** JOEL M MATTA MD (OWNER)
- **Authorized official phone:** (310) 852-7475

## Contact information

- **Practice address:** 2001 SANTA MONICA BLVD, SUITE 1090, SANTA MONICA, CA 90404-2102
- **Practice address phone:** (310) 582-7475
- **Practice address fax:** (310) 582-7481
- **Mailing address:** 2001 SANTA MONICA BL, SUITE 760, SANTA MONICA, CA 90404-2102
- **Mailing address phone:** (310) 582-7475
- **Mailing address fax:** (310) 582-7481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G27855 | CA | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 07/30/2014