| Mind Space Mental Health Inc | |
|
31852 Coast Hwy Ste 400 Laguna Beach CA 92651-6767 | |
| (949) 689-9754 | |
| Not Available |
| Full Name | Mind Space Mental Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 31852 Coast Hwy Ste 400, Laguna Beach, California |
| Authorized Official Name and Position | Charles Tuan-tu Song Nguyen (DOCTOR/CEO) |
| Authorized Official Contact | 9496899754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Space Mental Health Inc 31852 Coast Hwy Ste 400 Laguna Beach CA 92651-6767 Ph: (949) 689-9754 | Mind Space Mental Health Inc 31852 Coast Hwy Ste 400 Laguna Beach CA 92651-6767 Ph: (949) 689-9754 |
| NPI Number | 1720800667 |
|---|---|
| Provider Enumeration Date | 10/31/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720800667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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