Healthcare Provider Details

I. General information

NPI: 1295610566
Provider Name (Legal Business Name): TMS LA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4714 WOODMAN AVE
VAN NUYS CA
91423-2416
US

IV. Provider business mailing address

4714 WOODMAN AVE
VAN NUYS CA
91423-2416
US

V. Phone/Fax

Practice location:
  • Phone: 818-900-0200
  • Fax:
Mailing address:
  • Phone: 213-760-1170
  • Fax: 323-825-5362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIO MEZA
Title or Position: CEO
Credential: MD
Phone: 213-760-1170