Organization
MIND BODY WELLNESS CENTER
Active
Parent organization
MIND BODY WELLNESS CENTER
Other names
Mind Body Acupuncture
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIND BODY WELLNESS CENTER
Authorized official
DR. GHIM M LAM D.A.O.M (OWNER)
(818) 500-1425
Entity
Organization
Contact information
Practice address
420 S BEVERLY DR, #100-17, BEVERLY HILLS, CA 90212-4426
(310) 467-6436
Mailing address
336 N CENTRAL AVE, # 3, GLENDALE, CA 91203-3123
(818) 500-1425
(818) 500-8588
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A10207
CA
Other
Enumeration date
11/06/2012
Last updated
05/23/2014
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