Individual
JAMES MONROE MATEJCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
2030 EAST 4TH STREET, 115D, SANTA ANA, CA 92705
(714) 541-1100
Mailing address
2930 VIA TOSCANA UNIT 103, CORONA, CA 92879-8005
(714) 393-1490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
840534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840534
BRN
CA
Enumeration date
05/14/2013
Last updated
06/14/2013
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