Healthcare Provider Details

I. General information

NPI: 1336974039
Provider Name (Legal Business Name): M & H PROVIDER SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 S ATLANTIC BLVD
MONTEREY PARK CA
91754-4714
US

IV. Provider business mailing address

PO BOX 1277
MONTEREY PARK CA
91754-8277
US

V. Phone/Fax

Practice location:
  • Phone: 626-284-4202
  • Fax: 626-828-2010
Mailing address:
  • Phone: 626-216-4640
  • Fax: 626-828-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADA M LUU
Title or Position: OFFICE MANAGER
Credential:
Phone: 626-216-4640