Organization
METAMEDCENTER, INC.
Active
Other names
Metamorphosis Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN S VIERREGGER MD (CEO/PHYSICIAN)
(714) 484-8000
Entity
Organization
Contact information
Practice address
8081 STANTON AVE STE 300, BUENA PARK, CA 90620-3246
(714) 484-8000
(714) 484-8800
Mailing address
8081 STANTON AVE STE 300, BUENA PARK, CA 90620-3246
(714) 484-8000
(714) 484-8800
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447699582
—
CA
Enumeration date
06/21/2022
Last updated
10/24/2025
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