| NPI | 1164720967 |
|---|---|
| Doing Business As | MIND BODY ACUPUNCTURE AND HERBS |
| Entity Type | Organization |
| Authorized Contact | GHIM M LAM Owner 310-467-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A10207) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |