Individual provider · Type 1 NPI

Alizah Mae Mateo, PA-C

Clinic/Center · Santa Ana, CA

NPI number 1699243022 Active

Practice location

19192 Fairhaven Ext
Santa Ana, CA 92705-1362

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1699243022

Alizah Mae Mateo, PA-C's National Provider Identifier is 1699243022, issued on Nov 3, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Santa Ana, CA. The record was last updated on Nov 3, 2018.