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Organization
MIND & BODY MEN'S CLINIC, A PROFESSIONAL NURSING CORPORATION
Active
Organization
MIND & BODY MEN'S CLINIC, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILKINSON PMHNP (OWNER AND PROVIDER)
(808) 269-2730
Entity
Organization
Contact information
Practice address
720 WILSHIRE BLVD STE 204, SANTA MONICA, CA 90401-1737
(808) 269-2730
Mailing address
2050 LOMITA PARK PL # A, LOMITA, CA 90717-1124
(808) 269-2730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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