Organization
MIND AND BODY NUTRITION
Active
Organization
MIND AND BODY NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MUNGUIA (BILLING DIRECTOR)
(949) 430-7824
Entity
Organization
Contact information
Practice address
2350 SE BRISTOL ST STE 200, NEWPORT BEACH, CA 92660
(949) 430-7824
Mailing address
2350 SE BRISTOL ST STE 200, NEWPORT BEACH, CA 92660
(949) 430-7824
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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