Mind & Body Treatment And Research Institute, Pc | |
5700 Division St 200 Riverside CA 92506-3257 | |
(951) 300-4905 | |
Not Available |
Full Name | Mind & Body Treatment And Research Institute, Pc |
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Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 5700 Division St, Riverside, California |
Authorized Official Name and Position | Rajagopal Keerthy Sunder (OWNER) |
Authorized Official Contact | 5106852022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mind & Body Treatment And Research Institute, Pc 3060 El Cerrito Plz Suite 266 El Cerrito CA 94530-4011 Ph: (510) 685-2022 | Mind & Body Treatment And Research Institute, Pc 5700 Division St 200 Riverside CA 92506-3257 Ph: (951) 300-4905 |
NPI Number | 1740689694 |
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Provider Enumeration Date | 08/16/2014 |
Last Update Date | 02/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740689694 | NPI | - | NPPES |
101426267 0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | A94223 (California) | Primary |
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