Individual provider · Type 1 NPI
Olman Mata, DC
Chiropractor · Covina, CA
NPI number
1174688253
Active
Practice location
461 W Badillo St
Covina, CA 91723-1834
Fax (626) 915-8929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 22763 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1174688253
Olman Mata, DC's National Provider Identifier is 1174688253, issued on Dec 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Covina, CA. The record was last updated on Jul 8, 2007.