MEDICARE: SOUTH BAY TMS THERAPY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	G78080	CA

General Provider Information

NPI Number	:	1811442767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH BAY TMS THERAPY CENTER

Provider Business Mailing Address
First Line	:	515 LARSSON ST
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-6734
Country	:	US
Telephone Number	:	310-318-2566
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 N SEPULVEDA BLVD
Second Line	:	SUITE 202
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-6746
Country	:	US
Telephone Number	:	310-318-2566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARTHA KOO
Credential	:	MD
Telephone Number	:	310-318-2566

Provider Enumeration Date	:	08/21/2016
Last Update Date	:	08/21/2016

Similar Medicare Providers

1992924047 — DR. ROGER KENNETH LIGHT PH.D.
Practice Location Address:

509 N SEPULVEDA BLVD , SUITE 204
MANHATTAN BEACH, CA
90266-6746

Practice Phone: 310-374-1221
Practice Fax: 310-214-0648

1831558899 — DR. LORI ZAREMSKI, PHD
Practice Location Address:

509 N SEPULVEDA BLVD , #204
MANHATTAN BEACH, CA
90266-6746

Practice Phone: 310-374-1221
Practice Fax:

1912702150 — TOWN CENTER IMAGING 2 LLC
Practice Location Address:

4677 COLUMBUS ST STE 101
VIRGINIA BEACH, VA
23462-6746

Practice Phone: 757-943-3660
Practice Fax:

1114332871 — MRS. LISANDRA VELEZ
Practice Location Address:

1236 S BEACH CIR
KISSIMMEE, FL
34746-6746

Practice Phone: 407-508-5132
Practice Fax:

1154980787 — PEARL DENTAL
Practice Location Address:

1401 E ATLANTIC BLVD
POMPANO BEACH, FL
33060-6746

Practice Phone: 561-305-6246
Practice Fax:

1093303786 — MRS. ALYSSA MAE BROWN FNP
Practice Location Address:

4677 COLUMBUS ST
VIRGINIA BEACH, VA
23462-6746

Practice Phone: 757-463-2540
Practice Fax:

Directions to “SOUTH BAY TMS THERAPY CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.