Carlos, Norberto Mata

Carlos, Norberto Mata is an sole proprietor health care provider with primary practice located at 41715 Winchester Rd , Temecula CA 92590-4808. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carlos, Norberto Mata can be contacted via phone (951) 719-1414.

Contact Information

Primary practice address
41715 Winchester Rd Temecula CA 92590-4808
Phone: (951) 719-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS24788 California

Profile Details

NPI number 1275622672
LBN Legal business name Carlos, Norberto Mata
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Oct 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275622672 NPPES
California Other FB076Z MEDICARE PTAN
California Other W14158 MEDICARE PTAN
California Other ZZZ20041Z MEDICARE PTAN

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