Maria Elena Gallegos
Individual provider Active NPI Marriage & Family Therapist · Watts, CA
NPI 1871787119 · NPPES record last updated Feb 22, 2016
Key facts
- NPI
- 1871787119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 79398 (CA)
- Practice address
- 10221 Compton Ave
104 &203
Watts, CA 90002-2802 - Phone
- (213) 385-5100
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79398 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | 79398 | CA | Yes |
Addresses
Primary practice location
10221 Compton Ave
104 &203
Watts, CA 90002-2802
Mailing address
10221 Compton Ave
Suite 104 and 203
Watts, CA 90002-2802
Phone (323) 249-2950
Other providers in Watts, CA
- Claudia Alcantar Aguilar
- Socorro Elias
- Jessica Monique Hernandez
- Davion Mauldin
- Kathleen Ramsey
- Vanessa Torres
- Jenny Vasquez
All providers in Watts, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.