Mind & Body Health | |
901 Dover Dr Ste 214 Newport Beach CA 92660-5500 | |
(407) 476-2005 | |
(949) 612-7427 |
Full Name | Mind & Body Health |
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Speciality | Clinic/Center |
Location | 901 Dover Dr Ste 214, Newport Beach, California |
Authorized Official Name and Position | Evan Reid Beecher (CLINICAL ADMINISTRATOR) |
Authorized Official Contact | 9499937432 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mind & Body Health 901 Dover Dr Ste 214 Newport Beach CA 92660-5500 Ph: (407) 476-2005 | Mind & Body Health 901 Dover Dr Ste 214 Newport Beach CA 92660-5500 Ph: (407) 476-2005 |
NPI Number | 1073272167 |
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Provider Enumeration Date | 12/16/2021 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 3072999069 |
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Medicare Enrollment ID | O20220928001811 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073272167 | NPI | - | NPPES |
BT30077324 | Other | CA STATE LICENSE NUMBER |
Provider Name | John Delgado |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083892020 PECOS PAC ID: 9830148741 Enrollment ID: I20200325000456 |
Provider Name | Aeli Hartmann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619433117 PECOS PAC ID: 5193149136 Enrollment ID: I20221004002388 |
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