Organization
MIRAMINDS HOLISTIC CARE, INC
Active
Other names
MiraMinds Medical Aid, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A YUNGA DNP, PMHNP-BC, ACNP (CEO)
(480) 604-1042
Entity
Organization
Contact information
Practice address
21515 HAWTHORNE BLVD STE 200, TORRANCE, CA 90503-6512
(844) 207-8080
(575) 205-0309
Mailing address
15909 S ORCHARD AVE, GARDENA, CA 90247-4545
(310) 770-2057
(575) 205-0309
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/26/2020
Last updated
06/03/2024
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