Healthcare Provider Details

I. General information

NPI: 1861149650
Provider Name (Legal Business Name): METTA CENTER FOR PSYCHOTHERAPY AND WELLBEING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6709 GREENLEAF AVE STE 300
WHITTIER CA
90601-5141
US

IV. Provider business mailing address

245 W GARVEY AVE UNIT 517
MONTEREY PARK CA
91754-9422
US

V. Phone/Fax

Practice location:
  • Phone: 310-402-8510
  • Fax:
Mailing address:
  • Phone: 310-402-8510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALBINA LOPEZ
Title or Position: OWNER
Credential:
Phone: 310-402-8510