Individual provider · Type 1 NPI

Jasmine Kassandra Mata

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1205716701 Active

Practice location

1403 N Garey Ave
Pomona, CA 91767-3809

Call (909) 242-7600 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205716701

Jasmine Kassandra Mata's National Provider Identifier is 1205716701, issued on Sep 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Sep 9, 2026.