National Provider Identifier Database

BRIAN J MATA
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

BRIAN J MATA
12021 SOUTH WILMINGTON AVE
BUILDING 18 SUITE 300
LOS ANGELES, CA90059
Phone: 424-454-6041
Fax:
Website:
Specialty Taxonomy Code
* Driver 172A00000X

* Indicates primary specialty

NPI Profile & details for BRIAN J MATA

NPI Number 1902504194
Credentials
Entity Individual
Enumeration date 02/17/2023
Last updated 02/17/2023 - About 3 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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