| Kintsugi Tms | |
|
24012 Calle De La Plata Ste 430 Laguna Hills CA 92653-7623 | |
| (949) 500-8833 | |
| Not Available |
| Full Name | Kintsugi Tms |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 24012 Calle De La Plata Ste 430, Laguna Hills, California |
| Authorized Official Name and Position | Josh Sweeney (MANAGER) |
| Authorized Official Contact | 9495008833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintsugi Tms 24012 Calle De La Plata Ste 430 Laguna Hills CA 92653-7623 Ph: (949) 500-8833 | Kintsugi Tms 24012 Calle De La Plata Ste 430 Laguna Hills CA 92653-7623 Ph: (949) 500-8833 |
| NPI Number | 1275154783 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275154783 | NPI | - | NPPES |
| 1477868578 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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