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Kenneth Paul Mata
Pharmacist in Los Angeles, California
NPI 1194310953

Kenneth Paul Mata is a Pharmacist based in Montclair, CA. Kenneth Paul Mata practices in Los Angeles, CA. The NPI Number for Kenneth Paul Mata is 1194310953 and holds a License No. 87473 (California).

The current practice location address for Kenneth Paul Mata is 4867 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 818-438-7279.

Location: 4867 W Sunset Blvd, Los Angeles, CA, 91763-1357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194310953
Provider Name
Kenneth Paul Mata
Credential
Provider Entity Type
Individual
Gender
Male
Address
4867 W Sunset Blvd, Los Angeles, CA, 91763-1357
Phone Number
818-438-7279
Fax Number
Provider Enumeration Date
03/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4867 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-5969
Phone Number
818-438-7279
Fax Number
person
Provider Business Mailing Address Details
Address
4867 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-5969
Phone Number
818-438-7279
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
87473 (California)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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