Healthcare Provider Details

I. General information

NPI: 1740936038
Provider Name (Legal Business Name): MS. WENDY MICHELL ROMERO TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 GRIFFIN AVE
LOS ANGELES CA
90031-3312
US

IV. Provider business mailing address

1721 GRIFFIN AVE
LOS ANGELES CA
90031-3312
US

V. Phone/Fax

Practice location:
  • Phone: 213-602-7130
  • Fax:
Mailing address:
  • Phone: 213-602-7130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: