MEDICARE: MR. SETH M MADEJ LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	143620	CA

General Provider Information

NPI Number	:	1447014485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SETH M MADEJ LMFT

Provider Business Mailing Address
First Line	:	13634 CORDARY AVE
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-7409
Country	:	US
Telephone Number	:	310-970-1921
Fax Number	:	310-970-1330

Provider Business Practice Location Address
First Line	:	5500 E ATHERTON ST STE 320
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-4022
Country	:	US
Telephone Number	:	562-444-5099
Fax Number	:	562-222-3860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	07/04/2025

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