Individual
DR. JOEL EDUARDO MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8064
(858) 616-8310
Mailing address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8064
(858) 616-8310
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A84669
CA
Other
Enumeration date
02/27/2007
Last updated
04/19/2017
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