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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