Provider Demographics
NPI:1518690494
Name:MINDO HEALTH SYSTEMS
Entity Type:Organization
Organization Name:MINDO HEALTH SYSTEMS
Other - Org Name:MINDO WELLNESS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMBIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-665-9806
Mailing Address - Street 1:143 ROLLINS AVE # 2492
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-9998
Mailing Address - Country:US
Mailing Address - Phone:703-665-9806
Mailing Address - Fax:833-672-3202
Practice Address - Street 1:143 ROLLINS AVE # 2492
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-9998
Practice Address - Country:US
Practice Address - Phone:703-665-9806
Practice Address - Fax:833-672-3202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center