Individual
JORGE M MATA-VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
799 FRONT ST, SOLEDAD, CA 93960-3017
(831) 678-0881
(831) 678-2803
Mailing address
1695 SEVILLE ST, SALINAS, CA 93906-2320
(831) 578-2148
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21447
CA
Other
Enumeration date
03/24/2011
Last updated
01/03/2022
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