Organization
MINDWELL RECUPERATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUREN PETOYAN PHARM TECH (MANAGER)
(323) 660-2222
Entity
Organization
Contact information
Practice address
6383 YUCCA ST, LOS ANGELES, CA 90028-5057
(213) 519-2442
(818) 457-5577
Mailing address
6383 YUCCA ST, LOS ANGELES, CA 90028-5057
(213) 519-2442
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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