Organization
MIND BODY WELLNESS CEBTER
Active
Other names
Mind Body Acupuncture and Herbs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHIM M LAM D.A.O.M (OWNER)
(310) 467-6436
Entity
Organization
Contact information
Practice address
420 S BEVERLY DR, #100-17, BEVERLY HILLS, CA 90212-4426
(310) 467-6436
Mailing address
420 S BEVERLY DR, #100-17, BEVERLY HILLS, CA 90212-4426
(310) 467-6436
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A10207
CA
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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