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NPI Code Detail

MEDICARE: INSIGHTFUL MINDS, INC.

MEDICARE: INSIGHTFUL MINDS, 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
12084P0800XPsychiatry Physician20A9377CA
22084P0804XChild & Adolescent Psychiatry Physician20A9377CA

General Provider Information

NPI Number : 1871824334
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHTFUL MINDS, INC.
Provider Business Mailing Address
First Line : 1451 QUAIL ST STE 101
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2747
Country : US
Telephone Number : 949-270-2902
Fax Number : 949-270-2908
Provider Business Practice Location Address
First Line : 1451 QUAIL ST STE 101
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2747
Country : US
Telephone Number : 949-270-2902
Fax Number : 949-270-2908
Authorized Official
Title or Position : PRESIDENT
Name : DR. CAT DANG
Credential : D.O.
Telephone Number : 949-270-2902
Provider Enumeration Date : 01/23/2010
Last Update Date : 10/29/2024

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Directions to “INSIGHTFUL MINDS, INC. ” Practice Location

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