=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073428082
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KLEINMIND PSYCHIATRY & WELLNESS, A NURSING PROFESSIONAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2026
-----------------------------------------------------
Last Update Date | 08/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1520 S SHENANDOAH ST UNIT 303
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90035-4530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-613-2346
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1520 S SHENANDOAH ST UNIT 303
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90035-4530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-613-2346
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/NURSE PRACTITIONER
-----------------------------------------------------
Name | SABRINA B KLEIN
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 310-613-2346
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------