Whalio Doctors

NPI 1013191543

Hector Mata

Practitioner Case Management Agency Los Angeles, CA

Practice location

Address
4849 Civic Ctr Way, Los Angeles, CA 90022
Phone
(323) 780-2556
Fax
(323) 262-8418
Mailing address
9150 East Imperial Highway Rm P31, Downey, CA 90242

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X

Registry record

NPI
1013191543
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Dec 2007
Record last updated
19 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.