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NPI Code Detail

MEDICARE: MS. CLAUDIA MATA

MEDICARE: MS. CLAUDIA MATA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1457294118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAUDIA MATA
Provider Business Mailing Address
First Line : 4650 W SUNSET BLVD # 53
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6062
Country : US
Telephone Number : 323-361-3849
Fax Number :
Provider Business Practice Location Address
First Line : 4650 W SUNSET BLVD # 53
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6062
Country : US
Telephone Number : 323-361-3849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ MS. CLAUDIA MATA ” Practice Location

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