Organization
MATTEO R MUTI,JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTEO RENATO MUTI II PH.D. (PRE4SIDENT/PSYCHOLOIST)
(818) 763-1212
Entity
Organization
Contact information
Practice address
12214 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3830
(818) 763-1212
Mailing address
12214 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3830
(818) 763-1212
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
004454
CA
251S00000X
Community/Behavioral Health Agency
Primary
004454
CA
251S00000X
Community/Behavioral Health Agency
ZP173
CA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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