Individual
DR. JAIME MATEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ROCKET RD, HAWTHORNE, CA 90250-6844
(617) 308-0652
Mailing address
622 N GUADALUPE AVE UNIT C, REDONDO BEACH, CA 90277-3069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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