MINDSPACE NP

ENCINO, CA
NPI1316728579
Entity TypeOrganization
Authorized ContactTANG SHAOQING
Owner
747-227-7593
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-10-12
Last Update Date2025-11-13
Business Address
MINDSPACE NP
16530 VENTURA BLVD STE 400
ENCINO, CA 91436-4551
Phone number: 747-227-7593
Mailing Address
MINDSPACE NP
16530 VENTURA BLVD
ENCINO, CA 91436-4554
Phone number: 747-227-7593
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