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Organization

SOCAL MIND AND BODY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD TRACY IGNAT NP (CLINICAL DIRECTOR)
(720) 697-4025
Entity
Organization

Contact information

Practice address
127 IRON HORSE, IRVINE, CA 92602-1826
(720) 697-4025
Mailing address
127 IRON HORSE, IRVINE, CA 92602-1826
(720) 697-4025
(949) 694-2696

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/20/2026
Last updated
03/20/2026
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