Organization
JOEL E. MATA, M.D. INC.
Active
Other names
Functional Restoration San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL E MATA MD (OWNER/ PRACTITIONER)
(858) 837-4477
Entity
Organization
Contact information
Practice address
106 THORN ST, SAN DIEGO, CA 92103-5629
(619) 450-6532
Mailing address
106 THORN ST, SAN DIEGO, CA 92103-5629
(619) 450-6532
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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