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Dr. David Nicolas Mata, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1538850870

David Nicolas Mata is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. David Nicolas Mata practices in San Diego, CA and has the professional credentials of MD. The NPI Number for David Nicolas Mata is 1538850870 and holds a License No. (California).

The current practice location address for David Nicolas Mata is 330 Lewis St Ste 400, San Diego, CA and can be reached out via phone at 619-471-9250.

Location: 330 Lewis St Ste 400, San Diego, CA, 92103-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538850870
Provider Name
David Nicolas Mata
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
330 Lewis St Ste 400, San Diego, CA, 92103-2108
Phone Number
619-471-9250
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Lewis St Ste 400
City
San Diego
State
California
Zip
92103-2108
Phone Number
619-471-9250
Fax Number
person
Provider Business Mailing Address Details
Address
330 Lewis St Ste 400
City
San Diego
State
California
Zip
92103-2108
Phone Number
619-471-9250
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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