Individual provider · Type 1 NPI

Jessica Mata

Rehabilitation Practitioner · Corona, CA

NPI number 1417629437 Active

Practice location

2275 S Main St Ste 201
Corona, CA 92882-5303

Call (951) 279-3222 Map

Fax (951) 279-5222

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1417629437

Jessica Mata's National Provider Identifier is 1417629437, issued on Sep 28, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Corona, CA. The record was last updated on Sep 5, 2025.