| Central California Tms Center, Inc. | |
|
30 E River Park Pl W Suite 310 Fresno CA 93720-1545 | |
| (559) 433-1867 | |
| (559) 433-9715 |
| Full Name | Central California Tms Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 E River Park Pl W, Fresno, California |
| Authorized Official Name and Position | Edgar Castillo Armas (PRESIDENT/OWNER) |
| Authorized Official Contact | 5594331867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central California Tms Center, Inc. 30 E River Park Pl W Suite 310 Fresno CA 93720-1545 Ph: (559) 433-1867 | Central California Tms Center, Inc. 30 E River Park Pl W Suite 310 Fresno CA 93720-1545 Ph: (559) 433-1867 |
| NPI Number | 1447610795 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 03/17/2016 |
| Medicare PECOS PAC ID | 6002112869 |
|---|---|
| Medicare Enrollment ID | O20160304001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447610795 | NPI | - | NPPES |
| EJ620A | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | A40267 (California) | Primary |
| Provider Name | Edgar Castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851492847 PECOS PAC ID: 7416994579 Enrollment ID: I20050411001180 |
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