MIND BODY SOUL MEDICAL SPA
NPI 1124554076
Clinic/Center - Adult Mental Health in La Crescenta, CA

Q: What is Mind Body Soul Medical Spa's NPI number?

The NPI number for Mind Body Soul Medical Spa is 1124554076. It was assigned to this organization in the NPPES registry on May 11, 2017.

Q: What is Mind Body Soul Medical Spa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since May 11, 2017

2415 LOS AMIGOS ST, LA CRESCENTA, CA 91214(818) 522-3555 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mind Body Soul Medical Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND BODY SOUL MEDICAL SPA (NPI 1124554076) is a healthcare organization registered as an adult mental health in La Crescenta, California and active in the NPI registry since May 2017. The organization lists Anoush Ketsoyan, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1124554076

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameMIND BODY SOUL MEDICAL SPA

Location Address2415 LOS AMIGOS STLa Crescenta, CA 91214-3032

Mailing Address2415 Los Amigos StLa Crescenta, CA 91214-3032 · (818) 522-3555

Phone(818) 522-3555

Organization SubpartYesParent: Araa Enterprise Llc

Authorized OfficialAnoush KetsoyanOwner/president · (818) 522-3555

Enumeration DateMay 11, 2017

✔ NPI 1124554076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2415 LOS AMIGOS ST, La Crescenta, CA 91214

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUANTUM HEALTHCARE CONSULTING LLC

Non-emergency Medical Transport (VAN)

2415 LOS AMIGOS ST
LA CRESCENTA, CA 91214

Los Angeles County (818) 522-3555

ANOUSH KETSOYAN

Driver

2415 LOS AMIGOS ST
LA CRESCENTA, CA 91214

Los Angeles County (818) 522-3555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Body Soul Medical Spa's NPI number?

The NPI number for Mind Body Soul Medical Spa is 1124554076. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Mind Body Soul Medical Spa located?

Mind Body Soul Medical Spa is located at 2415 Los Amigos St, La Crescenta, CA 91214. The listed phone number is (818) 522-3555.

What is Mind Body Soul Medical Spa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Mind Body Soul Medical Spa was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.