Luminous Mind Medicine Inc.
NPI #1699444380 in Oakland, California
Provider Information
- NPI Number
- 1699444380
- Entity Type
- Organization
- Organization Name
- Luminous Mind Medicine Inc.
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Sep 7, 2021
- Last Updated
- Jan 5, 2022
Practice Location
- Address
- 411 30TH ST STE 502
- City
- Oakland
- State
- California
- ZIP Code
- 94609-3300
- Phone
- (510) 480-8521
Authorized Official
- Name
- VIOLETA REYES
- Title
- RN-COORDINATOR
- Phone
- (510) 480-8521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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