| Daniel Matemotja, Md Inc | |
|
711 E Rosecrans Ave East Rancho Dominguez CA 90221-2143 | |
| (310) 635-5223 | |
| (310) 635-8246 |
| Full Name | Daniel Matemotja, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 711 E Rosecrans Ave, East Rancho Dominguez, California |
| Authorized Official Name and Position | Daniel Matemotja (OWNER) |
| Authorized Official Contact | 3106355223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Matemotja, Md Inc 711 E Rosecrans Ave East Rancho Dominguez CA 90221-2143 Ph: (310) 635-5223 | Daniel Matemotja, Md Inc 711 E Rosecrans Ave East Rancho Dominguez CA 90221-2143 Ph: (310) 635-5223 |
| NPI Number | 1568659563 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568659563 | NPI | - | NPPES |
| A35512 | Other | CA | MEDICAL LICENSE DIRECTOR |
| GR0100760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A35512 (California) | Primary |
Planned Parenthood Los Angeles Compton Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4402 E Compton Blvd, East Rancho Dominguez, CA 90221 Phone: 213-284-3125 Fax: 310-635-0146 |