MEDICARE: A WARM EMBRACE MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1750248878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A WARM EMBRACE MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1201 AVOCADO AVE # 113
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-7704
Country	:	US
Telephone Number	:	619-259-0325
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 KEARNY VILLA RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1578
Country	:	US
Telephone Number	:	619-259-0325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RIZA LOREINE CALLEJAS
Credential	:	LMFT
Telephone Number	:	619-259-0325

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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