Individual
GLORIA I MATTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.P.
Contact information
Practice address
8215 VAN NUYS BLVD., SUITE 306, PANORAMA CITY, CA 91402
(818) 988-6335
(818) 988-2140
Mailing address
1172 N. MACLAY AVE., SAN FERNANDO, CA 91340
(818) 898-1388
(818) 365-4031
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP 124
CA
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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