Healthcare Provider Details

I. General information

NPI: 1679391551
Provider Name (Legal Business Name): MONICA MALES LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 MANHATTAN BEACH BLVD STE 103
MANHATTAN BEACH CA
90266-4960
US

IV. Provider business mailing address

PO BOX 8154
FOUNTAIN VALLEY CA
92728-8154
US

V. Phone/Fax

Practice location:
  • Phone: 562-270-5041
  • Fax:
Mailing address:
  • Phone: 361-442-9836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number149104
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: