Body Mind Spirit Iop Inc | |
665 Camino De Los Mares Ste 104 San Clemente CA 92673 | |
(949) 248-7377 | |
(866) 805-2796 |
Full Name | Body Mind Spirit Iop Inc |
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Speciality | Psychologist |
Location | 665 Camino De Los Mares Ste 104, San Clemente, California |
Authorized Official Name and Position | William Martin (CEO) |
Authorized Official Contact | 9492477377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Body Mind Spirit Iop Inc 665 Camino De Los Mares Ste 104 San Clemente CA 92673-2840 Ph: (949) 248-7377 | Body Mind Spirit Iop Inc 665 Camino De Los Mares Ste 104 San Clemente CA 92673 Ph: (949) 248-7377 |
NPI Number | 1255733853 |
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Provider Enumeration Date | 09/25/2014 |
Last Update Date | 08/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255733853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY9840 (California) | Primary |
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