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Organization
PROFESSIONAL MINDS, PC
Active
Organization
PROFESSIONAL MINDS, PC
Active
Parent organization
PROFESSIONAL MINDS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL MINDS, PC
Authorized official
DR. ARIEL M. GAVINO MD (PRESIDENT)
(818) 638-3123
Entity
Organization
Contact information
Practice address
19234 VANOWEN ST, RESEDA, CA 91335-5000
(818) 638-3123
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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