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Organization

MINDFUL LIVING CENTER CALIFORNIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUKE THARASRI (MANAGER)
(323) 447-9079
Entity
Organization

Contact information

Practice address
8907 WARNER AVE STE 166, HUNTINGTON BEACH, CA 92647-5081
(714) 805-8861
Mailing address
900 PACIFIC COAST HWY APT 105, HUNTINGTON BEACH, CA 92648-4859
(323) 447-9079

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
01/28/2021
Last updated
04/14/2026
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