MEDICARE: WEST COAST TMS LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1972314342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COAST TMS LLC

Provider Business Mailing Address
First Line	:	1881 COMMERCENTER E STE 100
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-3442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1881 COMMERCENTER E STE 100
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-3442
Country	:	US
Telephone Number	:	909-534-0084
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	BEN STOKES
Credential	:
Telephone Number	:	909-534-0084

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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