Healthcare Provider Details
I. General information
NPI: 1871186205
Provider Name (Legal Business Name): TMS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/17/2021
Last Update Date: 02/17/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15352 SUTTON STREET
SHERMAN OAKS CA
91403
US
IV. Provider business mailing address
203 S ORANGE DR
LOS ANGELES CA
90036-3010
US
V. Phone/Fax
- Phone: 917-374-4215
- Fax: 805-830-1565
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOANN
ZUNIGA
Title or Position: DIRECTOR
Credential:
Phone: 805-616-0719