Organization
MIND & BODY GARDEN, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISHAN XU PHD (CEO/DIRECTOR)
(619) 933-2591
Entity
Organization
Contact information
Practice address
885 N SAN ANTONIO RD STE O, LOS ALTOS, CA 94022-1341
(650) 434-2563
(833) 259-3486
Mailing address
885 N SAN ANTONIO RD STE O, LOS ALTOS, CA 94022-1341
(650) 434-2563
(833) 259-3486
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
09/06/2023
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