MEDICARE: ZOI AND MIND CLINICS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1407469190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOI AND MIND CLINICS, INC

Provider Business Mailing Address
First Line	:	5015 EAGLE ROCK BLVD STE 208
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90041-2087
Country	:	US
Telephone Number	:	818-231-0007
Fax Number	:	818-942-3349

Provider Business Practice Location Address
First Line	:	5015 EAGLE ROCK BLVD STE 208
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90041-2087
Country	:	US
Telephone Number	:	818-231-0007
Fax Number	:	818-942-3349

Authorized Official
Title or Position	:	CEO
Name	:	MARIANNA BABAYAN
Credential	:	MA
Telephone Number	:	818-231-0007

Provider Enumeration Date	:	08/24/2020
Last Update Date	:	12/17/2021

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