New Dawn Tms Psychiatry
Clinic/Center (Adult Mental Health)

Address: 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048
Phone: 9093788000

New Dawn Tms Psychiatry (NPI# 1760090062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1760090062
Entity Type Organization
Practice Address 640 S San Vincente Blvd, Ste. 210
Los Angeles
CA 90048
Practice Telephone 9093788000
Practice Fax Number 8552124696
Mailing Address 640 S San Vincente Blvd, Ste. 210
Los Angeles
CA 90048-4654
Mailing Telephone 9093788000
Mailing Fax Number 8552124696
Authorized Official Name Kimberly Mercille (BILLING CREDENTIALING SPECIALIST)
Authorized Official Telephone 3144970500
Authorized Official Credential RN
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-07-22
Last Update Date 2020-07-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
CA 1770897357 OTHER NPI

Other Provider/Organization Names

Other Name Type Code
Metro NeuroHealth, LLC Other Name - Individual/Organization

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Office Location

Street Address 640 S SAN VINCENTE BLVD, STE. 210
State CA
Zip Code 90048

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
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Zip Code 90048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.