Healthcare Provider Details

I. General information

NPI: 1942120704
Provider Name (Legal Business Name): MINDFUL BRIDGES PSYCHIATRIC NURSING SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26323 JEFFERSON AVE STE E101
MURRIETA CA
92562-6972
US

IV. Provider business mailing address

30650 RANCHO CALIFORNIA RD STE D406
TEMECULA CA
92591-3215
US

V. Phone/Fax

Practice location:
  • Phone: 951-667-8852
  • Fax: 951-269-4033
Mailing address:
  • Phone: 951-667-8852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RUBEN GARCIA JR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PMHNP-BC
Phone: 951-667-8852