Provider Demographics
NPI:1790474088
Name:CALIFORNIA PSYCH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:CALIFORNIA PSYCH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIGG-NORIEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-808-3566
Mailing Address - Street 1:2300 MAPLE AVE APT 215
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-9109
Mailing Address - Country:US
Mailing Address - Phone:310-808-3566
Mailing Address - Fax:
Practice Address - Street 1:2300 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-7146
Practice Address - Country:US
Practice Address - Phone:310-808-3566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)