| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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