Healthcare Provider Details

I. General information

NPI: 1194632893
Provider Name (Legal Business Name): DIAMOND LOTUS PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13313 LEFFINGWELL RD
WHITTIER CA
90605-4137
US

IV. Provider business mailing address

13309 LEFFINGWELL RD
WHITTIER CA
90605-4137
US

V. Phone/Fax

Practice location:
  • Phone: 323-252-1453
  • Fax:
Mailing address:
  • Phone: 323-252-1453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRENDA TREJO
Title or Position: LMFT
Credential:
Phone: 323-252-1453