NPI 1013261551

Mind Body Wellness Center

Organisation Preferred Provider Organization Beverly Hills, CA

Practice location

Address: 420 S Beverly Dr #100-17, Beverly Hills, CA 90212-4426
Phone: (310) 467-6436
Mailing address: 336 N Central Ave # 3, Glendale, CA 91203-3123

Authorised official

Name: Ghim M Lam
Title: Owner
Phone: (818) 500-1425

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence A10207 (CA)

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1013261551
Entity type: Organization
NPI issued: 6 Nov 2012
Record last updated: 23 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.