Healthcare Provider Details

I. General information

NPI: 1760568489
Provider Name (Legal Business Name): COMPTON METAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E COMPTON BLVD FL 1
COMPTON CA
90221-3303
US

IV. Provider business mailing address

1833 N KINGSLEY DR APT 10
LOS ANGELES CA
90027-3790
US

V. Phone/Fax

Practice location:
  • Phone: 310-668-6800
  • Fax:
Mailing address:
  • Phone: 213-479-6118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberASW 18369
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberASW 18369
License Number StateCA

VIII. Authorized Official

Name: HECTOR J ROBLES MONCADA
Title or Position: PSYCHIATRIC SOCIAL WORKER
Credential: MSW
Phone: 310-668-6800