Mind-Body Medical University

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

AC11816 Issued in CA

Legal business name

MIND-BODY MEDICAL UNIVERSITY

Practice address

790 E Colorado Blvd
Ste. 907a
Pasadena, CA 91101-2113

Phone

(888) 488-6268

Fax

(888) 630-5992

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Prof. Jason Liu, PH.D.

Title

Director

Phone

(626) 588-7815

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1104148501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E COLORADO BLVD",
            "address_2": "STE. 907A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012113",
            "telephone_number": "888-488-6268",
            "fax_number": "888-630-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E COLORADO BLVD",
            "address_2": "STE. 907A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012113",
            "telephone_number": "888-488-6268",
            "fax_number": "888-630-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-BODY MEDICAL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-588-7815",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "AC11816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.