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Organization

MINDSCAPE JOURNEYS NURSING CORPORATION

Active
Parent organization
COASTAL MINDSCAPE NURSING CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
COASTAL MINDSCAPE NURSING CORPORATION
Authorized official
DYANA KO NP (PRESIDENT)
(424) 728-5564
Entity
Organization

Contact information

Practice address
2200 PACIFIC COAST HWY STE 103, HERMOSA BEACH, CA 90254-2700
(424) 728-5564
(424) 377-6548
Mailing address
2200 PACIFIC COAST HWY STE 103, HERMOSA BEACH, CA 90254-2700
(424) 728-5564
(424) 377-6548

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/25/2025
Last updated
09/25/2025
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