| Mind Body Soul Medical Spa | |
|
2415 Los Amigos St La Crescenta CA 91214-3032 | |
| (818) 522-3555 | |
| Not Available |
| Full Name | Mind Body Soul Medical Spa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2415 Los Amigos St, La Crescenta, California |
| Authorized Official Name and Position | Anoush Ketsoyan (OWNER/PRESIDENT) |
| Authorized Official Contact | 8185223555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Soul Medical Spa 2415 Los Amigos St La Crescenta CA 91214-3032 Ph: (818) 522-3555 | Mind Body Soul Medical Spa 2415 Los Amigos St La Crescenta CA 91214-3032 Ph: (818) 522-3555 |
| NPI Number | 1124554076 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124554076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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