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Organization
MATA CHIROPRACTIC, INC.
Active
Organization
MATA CHIROPRACTIC, INC.
Active
Other names
Covina Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLMAN EDWARD MATA DC (CHIROPRACTOR)
(626) 966-4469
Entity
Organization
Contact information
Practice address
461 W BADILLO ST, COVINA, CA 91723
(626) 966-4469
(626) 915-8929
Mailing address
461 W BADILLO ST, COVINA, CA 91723-1834
(626) 966-4469
(626) 915-8929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
22763
CA
Other
Enumeration date
04/04/2007
Last updated
01/16/2013
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