OrganizationActive
Mind-Body Medical University
NPI 1104148501 · Point of Service · Pasadena, CA
Provider details
- NPI number
- 1104148501
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jason Liu, Director(626) 588-7815
- License
- AC11816 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
790 E Colorado Blvd
Ste. 907a
Pasadena, CA 91101-2113
Phone: (888) 488-6268
Fax: (888) 630-5992
Street-level locationGet directions
Mailing address
790 E Colorado Blvd
Pasadena, CA 91101-2113
Registry dates
- Enumerated
- 2010-02-26
- Last updated
- 2010-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.