National Provider Identifier Database

MIND BODY WELLNESS CENTER
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MIND BODY WELLNESS CENTER
420 S BEVERLY DR
#100-17
BEVERLY HILLS, CA90212-4426
Phone: 310-467-6436
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MIND BODY WELLNESS CENTER

NPI Number 1013261551
Legal business name
LBN
MIND BODY WELLNESS CENTER
Authorized official GHIM LAM - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 11/06/2012
Last updated 05/23/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A10207

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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