Dr. Eric Chaghouri M.D., a Professional Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DR. ERIC CHAGHOURI M.D., A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Lucid Wellness Center
MindHealthMD

Practice address

11150 W Olympic Blvd Ste 775
Los Angeles, CA 90064-1850

Phone

(424) 307-9503

NPI assigned

Jan 3, 2022

Last updated

Oct 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Chaghouri, MDNPI 1932472883

Title

Ceo

Phone

(310) 850-8657

Specialties & licenses 2

Addresses

Other names 2

• Lucid Wellness Center Doing business as
• MindHealthMD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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.

• Eric Chaghouri, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1932472883
  NPD Authorized official
• Morgan Britney Galipeau, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1548037799
  Medicare reassignment NPD (past)
• Jacob Martin Macmaster, PMHNP IN PROGRESS

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1205636354
  Medicare reassignment NPD (past)
• Ian R Tofler, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1558466342
  Medicare reassignment NPD (past)
• Elizabeth Jennifer Puels, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1508599663
  NPD (past)

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1285395269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 W OLYMPIC BLVD STE 775",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641850",
            "telephone_number": "424-307-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 W OLYMPIC BLVD STE 775",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641850",
            "telephone_number": "424-307-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERIC CHAGHOURI M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "CHAGHOURI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-850-8657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucid Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MindHealthMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.