| Mobile Tms | |
|
21730 S Vermont Ave Ste 122 Torrance CA 90502-2196 | |
| (213) 266-2661 | |
| (310) 782-0854 |
| Full Name | Mobile Tms |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 21730 S Vermont Ave Ste 122, Torrance, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Tms 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Mobile Tms 21730 S Vermont Ave Ste 122 Torrance CA 90502-2196 Ph: (213) 266-2661 |
| NPI Number | 1740773357 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740773357 | NPI | - | NPPES |
| 19A8 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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