Provider Demographics
NPI:1720600216
Name:TMS INTERVENTIONS AND CLINICAL SPECIALTIES INC.
Entity Type:Organization
Organization Name:TMS INTERVENTIONS AND CLINICAL SPECIALTIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAID
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:IBRAHIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-648-2650
Mailing Address - Street 1:4145 BLACKHAWK PLAZA CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-4699
Mailing Address - Country:US
Mailing Address - Phone:925-648-2650
Mailing Address - Fax:925-648-2530
Practice Address - Street 1:4145 BLACKHAWK PLAZA CIR STE 201
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-4699
Practice Address - Country:US
Practice Address - Phone:925-648-2650
Practice Address - Fax:925-648-2530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA129171OtherCA LICENSE