Mind Body Medical Services, P.C. Of California
Family Medicine, Adult Medicine in Kensington, CA. Organization (NPI-2).
NPI number1871350488
StatusActive
Last updated in NPPESFeb 29, 2024
Details
- NPI
- 1871350488
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Body Medical Services, P.C. Of California
- Organization subpart
- No
- Enumeration date
- Feb 29, 2024
- Certification date
- Feb 29, 2024
- Last updated
- Feb 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
72 Kingston RdKensington, CA 94707-1334
Phone 888-729-1971
Mailing address
72 Kingston RdKensington, CA 94707-1334
Phone 888-729-1971
Authorized official
Laura Hollander
Care Operations Manager
8887291971
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