| Mind Body Focus | |
|
27201 Puerta Real Ste 300 Mission Viejo CA 92691-8590 | |
| (949) 323-8475 | |
| Not Available |
| Full Name | Mind Body Focus |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 27201 Puerta Real Ste 300, Mission Viejo, California |
| Authorized Official Name and Position | Alexander Ghobadimanesh (PSYCHIATRIST) |
| Authorized Official Contact | 9493238475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Focus 27201 Puerta Real Ste 300 Mission Viejo CA 92691-8590 Ph: (949) 323-8475 | Mind Body Focus 27201 Puerta Real Ste 300 Mission Viejo CA 92691-8590 Ph: (949) 323-8475 |
| NPI Number | 1083395826 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 5799139648 |
|---|---|
| Medicare Enrollment ID | O20230926001747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083395826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alexander Darius Ghobadimanesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043699929 PECOS PAC ID: 1254693237 Enrollment ID: I20190703000636 |
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