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Organization
MINDSCAPE JOURNEYS NURSING CORPORATION
Active
Organization
MINDSCAPE JOURNEYS NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYANA KO NP (PRESIDENT)
(424) 484-8357
Entity
Organization
Contact information
Practice address
2200 PACIFIC COAST HWY STE 103, HERMOSA BEACH, CA 90254-2700
(424) 728-5564
(424) 377-6548
Mailing address
2200 PACIFIC COAST HWY STE 103, HERMOSA BEACH, CA 90254-2700
(424) 484-8357
(424) 377-6548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/25/2025
Last updated
09/17/2026
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