Individual
ILEANA MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4910 DIRECTORS PL, SAN DIEGO, CA 92121-3811
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001784
CA
Other
Enumeration date
07/21/2025
Last updated
12/19/2025
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