Organization
PALO ALTO MIND BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M RAMEEN GHORIESHI MD, MPH (PHYSICIAN)
(650) 681-2900
Entity
Organization
Contact information
Practice address
206 CALIFORNIA AVE, PALO ALTO, CA 94306-1618
(650) 681-2900
(650) 681-2646
Mailing address
PO BOX 1011, PALO ALTO, CA 94302-1011
(650) 681-2900
(650) 681-2646
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
04/05/2023
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