| Lido Tms Center Llc | |
|
3020 Newport Blvd Newport Beach CA 92663-3879 | |
| (949) 633-2821 | |
| (949) 239-1341 |
| Full Name | Lido Tms Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3020 Newport Blvd, Newport Beach, California |
| Authorized Official Name and Position | Collin Weeden (CEO) |
| Authorized Official Contact | 9702605284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lido Tms Center Llc 3419 Via Lido # 313 Newport Beach CA 92663-3908 Ph: (949) 633-2821 | Lido Tms Center Llc 3020 Newport Blvd Newport Beach CA 92663-3879 Ph: (949) 633-2821 |
| NPI Number | 1235708819 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235708819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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