Individual
JUSTIN ALEXANDER MATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 N MAIN ST STE 127, CORONA, CA 92878-1440
(951) 216-3549
(951) 419-4348
Mailing address
140 BREEDERS CUP PL, NORCO, CA 92860-5100
(949) 836-7487
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026056
CA
Other
Enumeration date
01/04/2022
Last updated
01/31/2026
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