MR. Jose A Matadama is a student in an organized health care education training program in Los Angeles, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Jose A Matadama NPI is 1487172631. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1720 E 120TH ST
LOS ANGELES, CA
ZIP 90059-052
Phone: (310) 668-4447
The NPI 1487172631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 9/7/2017 and was last updated on 9/7/2017.