Organization
JOEL M. MATTA, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL M MATTA MD (OWNER)
(310) 852-7475
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 1090, SANTA MONICA, CA 90404-2102
(310) 582-7475
(310) 582-7481
Mailing address
2001 SANTA MONICA BL, SUITE 760, SANTA MONICA, CA 90404-2102
(310) 582-7475
(310) 582-7481
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G27855
CA
Other
Enumeration date
03/06/2007
Last updated
07/30/2014
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