Provider Demographics
NPI:1073242293
Name:META WELLNESS INC
Entity Type:Organization
Organization Name:META WELLNESS INC
Other - Org Name:META WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MELKONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-205-7662
Mailing Address - Street 1:3232 MENLO DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1820
Mailing Address - Country:US
Mailing Address - Phone:818-205-7662
Mailing Address - Fax:
Practice Address - Street 1:1515 WINONA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5003
Practice Address - Country:US
Practice Address - Phone:818-205-7662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2023-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health