BRIAN MATA

Driver

Active Individual
NPI: 1902504194

Practice Address

12021 SOUTH WILMINGTON AVE
BUILDING 18 SUITE 300
Los Angeles, CA 90059

Phone: (424) 454-6041

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1902504194 is the National Provider Identifier for BRIAN MATA, a Driver provider located in Los Angeles, CA. This NPI was enumerated on February 17, 2023.
BRIAN MATA practices at 12021 SOUTH WILMINGTON AVE, BUILDING 18 SUITE 300, Los Angeles, CA 90059.

Quick Facts

NPI
1902504194
Type
Individual
Enumerated
Feb 17, 2023
Last Updated
Feb 17, 2023

Nearby Providers