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Mind & Body Health Clinic
Primary Care Clinic/Center in Newport Beach, California
NPI 1073272167

Mind & Body Health Clinic is a Primary Care Clinic/Center based in Newport Beach, CA and is specialized in Primary Care. Mind & Body Health Clinic practices in Newport Beach, CA. The NPI Number for Mind & Body Health Clinic is 1073272167 and holds a License No. (California).

The current practice location address for Mind & Body Health Clinic is 901 Dover Dr Ste 214, Newport Beach, CA and can be reached out via phone at 407-476-2005 and via fax at 949-612-7427.

Location: 901 Dover Dr Ste 214, Newport Beach, CA, 92660-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073272167
Provider Name
Mind & Body Health Clinic
Credential
Provider Entity Type
Organization
Address
901 Dover Dr Ste 214, Newport Beach, CA, 92660-5500
Phone Number
407-476-2005
Fax Number
949-612-7427
Provider Enumeration Date
12/16/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BT30077324 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
901 Dover Dr Ste 214
City
Newport Beach
State
California
Zip
92660-5500
Phone Number
407-476-2005
Fax Number
949-612-7427
person
Provider Business Mailing Address Details
Address
901 Dover Dr Ste 214
City
Newport Beach
State
California
Zip
92660-5500
Phone Number
407-476-2005
Fax Number
949-612-7427
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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