| Mindscape | |
|
2291 W March Ln Ste D200 Stockton CA 95207-6670 | |
| (209) 200-8536 | |
| Not Available |
| Full Name | Mindscape |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2291 W March Ln Ste D200, Stockton, California |
| Authorized Official Name and Position | Amit Malik (OWNER/PROVIDER) |
| Authorized Official Contact | 2092008536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindscape 2291 W March Ln Ste D200 Stockton CA 95207-6670 Ph: (209) 200-8536 | Mindscape 2291 W March Ln Ste D200 Stockton CA 95207-6670 Ph: (209) 200-8536 |
| NPI Number | 1184368797 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184368797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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