Healthcare Provider Details

I. General information

NPI: 1932065612
Provider Name (Legal Business Name): KALM MINDS PSYCHIATRY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 BRISTOL ST STE 400
COSTA MESA CA
92626-3063
US

IV. Provider business mailing address

3090 BRISTOL ST STE 400
COSTA MESA CA
92626-3063
US

V. Phone/Fax

Practice location:
  • Phone: 818-860-1068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PRESCILLA CARDENAS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 818-860-1068