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NPI Code Detail

MEDICARE: MEDICAL MIND HEALING CENTER, INC.

MEDICARE: MEDICAL MIND HEALING CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist
22084N0400XNeurology Physician
32084P0800XPsychiatry Physician
4208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1336018670
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL MIND HEALING CENTER, INC.
Provider Business Mailing Address
First Line : 17525 VENTURA BLVD STE 203
Second Line :
City : ENCINO
State : CA
Zip : 91316-5109
Country : US
Telephone Number : 310-271-5875
Fax Number :
Provider Business Practice Location Address
First Line : 17525 VENTURA BLVD STE 203
Second Line :
City : ENCINO
State : CA
Zip : 91316-5109
Country : US
Telephone Number : 310-271-5875
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT HASHEMIYOON
Credential : MD
Telephone Number : 310-271-5875
Provider Enumeration Date : 11/04/2025
Last Update Date : 12/15/2025

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Directions to “MEDICAL MIND HEALING CENTER, INC. ” Practice Location

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