Jorge A Mata is a Family Medicine in San Ysidro, California. Jorge A Mata practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jorge A Mata is 1528150778. The last update date is 2021-12-01.
Jorge A Mata's current location address is 4004 Beyer Blvd, San Ysidro, California. You can contact this provider via phone number 6194284463 and fax number 6194282625. The mailing address for Jorge A Mata is 4004 Beyer Blvd, San Ysidro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge A Mata |
|---|---|
| Address | 4004 Beyer Blvd, San Ysidro, California |
| Phone Number | 6194284463 |
| Fax Number | 6194282625 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528150778 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 4004 Beyer Blvd |
|---|---|
| City | San Ysidro |
| State | California (CA) |
| Post Code | 921732007 |
| Phone Number | 6194284463 |
| Fax Number | 6194282625 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OP00001381 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC18880F | MEDI CAL |
Post Comment/ Review Below
What is the unique identification code assigned to Jorge A Mata by the Centers for Medicare & Medicaid Services?
The Jorge A Mata has been issued the NPI (National Provider Identifier) 1528150778. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jorge A Mata is physically located?
The Jorge A Mata is physically situated at the following address: 4004 Beyer Blvd, San Ysidro, CA, 921732007.
What is the area of specialization for Jorge A Mata, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jorge A Mata is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did Jorge A Mata receive its 1528150778 assignment from the Centers for Medicare & Medicaid Services?
The Jorge A Mata was assigned its 1528150778 on 2006-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jorge A Mata most recently updated?
The details pertaining to the Jorge A Mata, including its address, specialty, and other relevant information, were last refreshed on 2021-12-01.
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