NPIMap

Organization Active NPI

Mind Body Wellness Center

Doing business as Mind Body Acupuncture

  • Preferred Provider Organization
  • Beverly Hills, CA
National Provider Identifier
1013261551
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A10207 Issued in CA
Legal business name
MIND BODY WELLNESS CENTER
Doing business as
Mind Body Acupuncture
Practice address
420 S Beverly Dr
#100-17
Beverly Hills, CA 90212-4426
Phone
(310) 467-6436
NPI assigned
Nov 6, 2012
Last updated
May 23, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MIND BODY WELLNESS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ghim M Lam, D.A.O.MNPI 1558491647
Title
Owner
Phone
(818) 500-1425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A10207 CA Primary

Addresses

Primary practice location

420 S Beverly Dr
#100-17
Beverly Hills, CA 90212-4426

Mailing address

336 N Central Ave
# 3
Glendale, CA 91203-3123
Phone (818) 500-1425

Other names 1

  • Mind Body Acupuncture Doing business as

National Provider Directory

National Provider Directory
Part of
Mind Body Wellness Cebter

Locations

336 N Central Ave
Ste 3
Glendale, CA 91203
Phone (818) 500-1425

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1013261551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 N CENTRAL AVE",
            "address_2": "# 3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033123",
            "telephone_number": "818-500-1425",
            "fax_number": "818-500-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR",
            "address_2": "#100-17",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124426",
            "telephone_number": "310-467-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND BODY WELLNESS CENTER",
        "enumeration_date": "2012-11-06",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "GHIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-500-1425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.A.O.M"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A10207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.