Provider Demographics
NPI:1396628756
Name:MINDFUL BRIDGES PSYCHIATRIC NURSING SERVICES CORP
Entity type:Organization
Organization Name:MINDFUL BRIDGES PSYCHIATRIC NURSING SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:714-721-5282
Mailing Address - Street 1:42968 CALLE REVA
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3077
Mailing Address - Country:US
Mailing Address - Phone:714-721-5282
Mailing Address - Fax:951-552-7126
Practice Address - Street 1:42968 CALLE REVA
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-3077
Practice Address - Country:US
Practice Address - Phone:714-721-5282
Practice Address - Fax:951-552-7126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty