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Organization

MATCHA HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEJANDRO FERNANDEZ (CEO)
(424) 202-4942
Entity
Organization

Contact information

Practice address
14252 CULVER DR STE A-124, IRVINE, CA 92604-0317
(424) 202-4942
Mailing address
14252 CULVER DR STE A-124, IRVINE, CA 92604-0317

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
104100000X
Social Worker
207Q00000X
Family Medicine Physician
2084P0800X
Psychiatry Physician
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
08/10/2022
Last updated
08/10/2022
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