Healthcare Provider Details

I. General information

NPI: 1639026594
Provider Name (Legal Business Name): CLEARMIND CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13269 FIRESTONE DR
RANCHO CUCAMONGA CA
91739-2701
US

IV. Provider business mailing address

13269 FIRESTONE DR
RANCHO CUCAMONGA CA
91739-2701
US

V. Phone/Fax

Practice location:
  • Phone: 909-318-3422
  • Fax:
Mailing address:
  • Phone: 909-318-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAMANPAL KAUR PUNIA
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 510-303-0817