MLJ Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MLJ FOUNDATION

Practice address

300 Spectrum Center Dr Ste 400
Irvine, CA 92618-4989

Phone

(949) 299-2023

NPI assigned

Aug 3, 2026

Organization subpart

No

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

Authorized official

Name

Andrea Wilson

Title

Executive Director

Phone

(949) 299-2023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1437072808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SPECTRUM CENTER DR STE 400",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184989",
            "telephone_number": "949-299-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SPECTRUM CENTER DR STE 400",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184989",
            "telephone_number": "949-299-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLJ FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-299-2023"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Yeichi Miyadi, OTR
• Pamela Ann Mizell, CNM
• Ray Mizutari, BS
• MK SG Dental Corp
• MKP Internal Medicine
• Kauani K Moa I
• Afshan Mobin
• Modern Integrative Nutrition PC
• Modern Psychiatric Group
• Modern Recovery Inc.

• Community/Behavioral Health Agency in Irvine, CA
• Providers in Irvine, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.