person
Brian Jesse Mata
Driver in Los Angeles, California
NPI 1902504194

Brian Jesse Mata is a Driver based in Los Angeles, CA. Brian Jesse Mata practices in Los Angeles, CA. The NPI Number for Brian Jesse Mata is 1902504194 and holds a License No. (California).

The current practice location address for Brian Jesse Mata is 12021 South Wilmington Ave, Los Angeles, CA and can be reached out via phone at 424-454-6041.

Location: 12021 South Wilmington Ave, Los Angeles, CA, 90059
person
Provider Profile Details
NPI Number
1902504194
Provider Name
Brian Jesse Mata
Credential
Provider Entity Type
Individual
Gender
Male
Address
12021 South Wilmington Ave, Los Angeles, CA, 90059
Phone Number
424-454-6041
Fax Number
Provider Enumeration Date
02/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12021 South Wilmington Ave
City
State
Zip
90059
Phone Number
424-454-6041
Fax Number
person
Provider Business Mailing Address Details
Address
12021 South Wilmington Ave
City
State
Zip
90059
Phone Number
424-454-6041
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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