DANIEL MATEMOTJA MD INC NPI 1063682979

NPI Information

NPI: 1063682979
Provider Name: DANIEL MATEMOTJA MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
12131 CARSON ST
HAWAIIAN GARDENS, CA
ZIP 90716
Phone: (562) 809-0299
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DANIEL MATEMOTJA MD INC is a general practice in Hawaiian Gardens, CA. DANIEL MATEMOTJA MD INC NPI is 1063682979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12131 CARSON ST
HAWAIIAN GARDENS, CA
ZIP 90716-154
Phone: (562) 809-0299
Fax: (562) 809-2510

The provider's authorized official is Daniel Matemotja .
The authorized official title is Owner/medical Doctor and has the following contact phone number (562) 809-0299.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A35512	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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