John Richard Mataka in Patterson - Addiction (substance Use Disorder)
John Richard Mataka - NPI 1821128661
John Richard Mataka is a Addiction (substance Use Disorder) in Patterson, California. John Richard Mataka practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Richard Mataka is 1821128661. The last update date is 2020-01-31.
John Richard Mataka's current location address is 8505 Wilson Street, Patterson, California. You can contact this provider via phone number 2095674151 and fax number 2095674112. The mailing address for John Richard Mataka is 8505 Wilson Street, Patterson, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Richard Mataka |
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Address | 8505 Wilson Street, Patterson, California |
Phone Number | 2095674151 |
Fax Number | 2095674112 |
Sole Proprietor | N |
Credentials | RAS |
NPI Number Detail
NPI Number | 1821128661 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2020-01-31 |
Provider Mailing Address Detail
Address | 8505 Wilson Street |
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City | Patterson |
State | California (CA) |
Post Code | 95363 |
Phone Number | 2095674151 |
Fax Number | 2095674112 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | C5651214 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Post Comment/ Review Below
What is the unique identifier code issued to John Richard Mataka by the Centers for Medicare & Medicaid Services (CMS)?
The John Richard Mataka has been assigned the NPI (National Provider Identifier) 1821128661. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the John Richard Mataka's physical address?
The John Richard Mataka is physically located at 8505 Wilson Street, in the city of Patterson, CA, with the postal code 95363.
What is John Richard Mataka's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Richard Mataka's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When did John Richard Mataka receive its 1821128661 assignment?
The John Richard Mataka was assigned its 1821128661 on 2007-03-07, which is the date when this unique identifier was issued to the organization.
When was the John Richard Mataka's information last updated?
The John Richard Mataka's information was last updated on 2020-01-31.