Individual provider · Type 1 NPI

Justin Alexander Matar

Psychiatric/Mental Health Nurse Practitioner · Corona, CA

NPI number 1265193080 Active

Practice location

765 N Main St Ste 127
Corona, CA 92878-1440

Fax (951) 419-4348

Mailing address

140 Breeders Cup Pl
Norco, CA 92860-5100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95026056 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95026056 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

6 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Corona

See all in Corona →

About NPI 1265193080

Justin Alexander Matar's National Provider Identifier is 1265193080, issued on Jan 4, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Corona, CA. The record was last updated on Jul 23, 2026.