Healthcare Provider Details

I. General information

NPI: 1194646539
Provider Name (Legal Business Name): CORE MIND INSTITUTE, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N BRAND BLVD STE 312
GLENDALE CA
91202-3071
US

IV. Provider business mailing address

1111 N BRAND BLVD STE 312
GLENDALE CA
91202-3071
US

V. Phone/Fax

Practice location:
  • Phone: 323-230-0017
  • Fax: 323-381-5984
Mailing address:
  • Phone: 323-230-0017
  • Fax: 323-381-5984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CRISTIAN PENCIU
Title or Position: OWNER
Credential: MD
Phone: 323-896-6647