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KASSANDRA MARYCELA DE MATTA
NPI 1346836301
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since December 14, 2020
4423 LONG BEACH AVE, LOS ANGELES, CA 90058(323) 360-2893 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kassandra Marycela De Matta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSANDRA MARYCELA DE MATTA (NPI 1346836301) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1346836301
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKASSANDRA MARYCELA DE MATTA
Location Address4423 LONG BEACH AVELos Angeles, CA 90058-1922
Mailing Address4423 Long Beach AveLos Angeles, CA 90058-1922 · (323) 360-2893
Phone(323) 360-2893
Sole ProprietorYes
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
✔ NPI 1346836301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4423 LONG BEACH AVE, Los Angeles, CA 90058
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassandra De Matta's NPI number?

The NPI number for Kassandra De Matta is 1346836301. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is Kassandra De Matta located?

Kassandra De Matta practices at 4423 Long Beach Ave, Los Angeles, CA 90058. The listed phone number is (323) 360-2893.

What is Kassandra De Matta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kassandra De Matta was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.