| Peter Mattar Inc. | |
|
1210 Hamner Ave # 1005 Norco CA 92860-3117 | |
| (951) 415-1120 | |
| Not Available |
| Full Name | Peter Mattar Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1210 Hamner Ave # 1005, Norco, California |
| Authorized Official Name and Position | Peter Mattar (OWNER) |
| Authorized Official Contact | 9099737772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Mattar Inc. 1210 Hamner Ave # 1005 Norco CA 92860-3117 Ph: (909) 973-7772 | Peter Mattar Inc. 1210 Hamner Ave # 1005 Norco CA 92860-3117 Ph: (951) 415-1120 |
| NPI Number | 1851843775 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 7315227907 |
|---|---|
| Medicare Enrollment ID | O20161219000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851843775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Peter Noel Mattar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417005422 PECOS PAC ID: 8426147398 Enrollment ID: I20071129000341 |
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