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Justin Alexander Matar
Psychiatric/Mental Health Nurse Practitioner in Riverside, California
NPI 1265193080

Justin Alexander Matar is a Psychiatric/Mental Health Nurse Practitioner based in Norco, CA and is specialized in Psychiatric/Mental Health. Justin Alexander Matar practices in Riverside, CA. The NPI Number for Justin Alexander Matar is 1265193080 and holds a License No. 95026056 (California).

The current practice location address for Justin Alexander Matar is 11850 Pierce St Ste 200, Riverside, CA and can be reached out via phone at 951-465-3664.

Location: 11850 Pierce St Ste 200, Riverside, CA, 92860-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265193080
Provider Name
Justin Alexander Matar
Credential
Provider Entity Type
Individual
Gender
Male
Address
11850 Pierce St Ste 200, Riverside, CA, 92860-5100
Phone Number
951-465-3664
Fax Number
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11850 Pierce St Ste 200
City
Riverside
State
California
Zip
92505-5184
Phone Number
951-465-3664
Fax Number
person
Provider Business Mailing Address Details
Address
11850 Pierce St Ste 200
City
Riverside
State
California
Zip
92505-5184
Phone Number
951-465-3664
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95026056 (California)
Definition
Definition to come...
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