NPI 1164720967

Mind Body Wellness Cebter

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

Authorised official

Name: Ghim M Lam
Title: Owner
Phone: (310) 467-6436

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence A10207 (CA)

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1164720967
Entity type: Organization
NPI issued: 3 Mar 2011
Record last updated: 3 Mar 2011

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.