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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SARA SALEM MATTY

Active Sole Proprietor

SARA SALEM MATTY is a Primary Care Clinic healthcare provider located in SAN DIEGO, California. NPI 1265167506 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · SAN DIEGO, CA

Registration Details

NPI Number
1265167506
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2022 (4.0919341697038 yrs)
Last Updated
Jan 15, 2025
Licenses
PA62020 (CA)
PA62020 (CA)
Sole Proprietor
Yes

Practice Information

Address
4060 FAIRMOUNT AVE
SAN DIEGO, CA, 921051608
Browse CA providers · Browse ZIP 92105
Phone
6192804213
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic

Other Primary Care Clinic Providers in SAN DIEGO, CA

Name Credential NPI
DR. RAMIZ NAIM ELIAS M.D. 1417164518
DR. SHAWN SLAYTON M.D. 1902270929
CYNTHIA ANNE KRANZ RN 1184203945
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.