PALO ALTO MIND BODY NPI 1639729932

NPI Information

PALO ALTO MIND BODY is a multi-specialty clinic center in Palo Alto, CA. PALO ALTO MIND BODY NPI is 1639729932. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1001 ELWELL CT
PALO ALTO, CA
ZIP 94303-308
Phone: (650) 681-2900
Fax: (650) 681-2646

The provider's authorized official is M Rameen Ghorieshi .
The authorized official title is Physician and has the following contact phone number (650) 681-2900.

The CLIA number assigned to this NPI record is 05D2150501 - ancillary test site with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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