| Mindful Living Center California Llc | |
|
714 W Olympic Blvd Ste 614 Los Angeles CA 90015-1485 | |
| (213) 510-6150 | |
| Not Available |
| Full Name | Mindful Living Center California Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 714 W Olympic Blvd Ste 614, Los Angeles, California |
| Authorized Official Name and Position | Luke Tharasri (MANAGER) |
| Authorized Official Contact | 3234193869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Living Center California Llc 900 Pacific Coast Hwy Apt 105 Huntington Beach CA 92648-4859 Ph: (323) 419-3869 | Mindful Living Center California Llc 714 W Olympic Blvd Ste 614 Los Angeles CA 90015-1485 Ph: (213) 510-6150 |
| NPI Number | 1275124737 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 0648689216 |
|---|---|
| Medicare Enrollment ID | O20210511002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275124737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mohsin Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811970726 PECOS PAC ID: 1557317708 Enrollment ID: I20111227000770 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Psychological Care And Healing Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10700 Santa Monica Blvd Ste 300, Los Angeles, CA 90025 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |