Organization
DANIEL MATEMOTJA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MATEMOTJA MD (OWNER/MEDICAL DOCTOR)
(562) 809-0299
Entity
Organization
Contact information
Practice address
12131 CARSON ST, HAWAIIAN GARDENS, CA 90716-1154
(562) 809-0299
(562) 809-2510
Mailing address
12131 CARSON ST, HAWAIIAN GARDENS, CA 90716-1154
(562) 809-0299
(562) 809-2510
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A35512
CA
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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