Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINA MATTA, PROVIDER
Active Sole ProprietorBus · VICTORVILLE, CA
Registration Details
- NPI Number
- 1154897999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2018 (7.524204157548 yrs)
- Last Updated
- Jul 18, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
16333 GREEN TREE BLVD UNIT 3364VICTORVILLE, CA, 923937135Browse CA providers · Browse ZIP 92393
- Phone
- 7609301112
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in VICTORVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| SYED ADEEL ABEDI | MANAGER | 1467011973 |
| MS. VANA MARIE JUSTICE | — | 1437882180 |
| MARIA CONCEPCION GARCIA | — | 1306551627 |
| SYEDA ASRA HEYDAR ABEDI | — | 1578260287 |
| BUSTER LEE NIX | — | 1487334298 |
| JESSE MORALES | — | 1669250114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.