Provider Demographics
| NPI: | 1659861516 |
|---|---|
| Name: | CALIFORNIA MINDFULNESS CENTER INC |
| Entity type: | Organization |
| Organization Name: | CALIFORNIA MINDFULNESS CENTER INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CYNTHIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BOLAND |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LMFT |
| Authorized Official - Phone: | 888-832-1028 |
| Mailing Address - Street 1: | 37 AUBURN AVE STE 9 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SIERRA MADRE |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 91024-1846 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 310-663-2804 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 37 AUBURN AVE STE 9 |
| Practice Address - Street 2: | |
| Practice Address - City: | SIERRA MADRE |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 91024-1846 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 310-663-2804 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2018-05-16 |
| Last Update Date: | 2025-09-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 261QM0850X | ||
| CA | 261QM0850X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |