Healthcare Provider Details

I. General information

NPI: 1427548460
Provider Name (Legal Business Name): DR. SOLUTION BEVERLY HILLS TMS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 BRIGHTON WAY STE 407
BEVERLY HILLS CA
90210-4711
US

IV. Provider business mailing address

9400 BRIGHTON WAY STE 407
BEVERLY HILLS CA
90210-4711
US

V. Phone/Fax

Practice location:
  • Phone: 310-271-8407
  • Fax: 310-271-8406
Mailing address:
  • Phone: 310-271-8407
  • Fax: 310-271-8406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA81912
License Number StateCA

VIII. Authorized Official

Name: SOPHIE DURIEZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-271-8407