| Mindfield Wellness | |
|
6330 San Vicente Blvd Ste 510 Los Angeles CA 90048-5455 | |
| (310) 658-4008 | |
| Not Available |
| Full Name | Mindfield Wellness |
|---|---|
| Speciality | Home Infusion |
| Location | 6330 San Vicente Blvd Ste 510, Los Angeles, California |
| Authorized Official Name and Position | Edward J Bates (CEO) |
| Authorized Official Contact | 3106584008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfield Wellness 1138 S Crescent Heights Blvd Los Angeles CA 90035-2635 Ph: (310) 658-4008 | Mindfield Wellness 6330 San Vicente Blvd Ste 510 Los Angeles CA 90048-5455 Ph: (310) 658-4008 |
| NPI Number | 1548948292 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548948292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 251F00000X | Home Infusion | (* (Not Available)) | Primary |
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