Provider Demographics
NPI:1134587652
Name:BOWMAN MEDICAL CENTER FOR TMS, INC
Entity type:Organization
Organization Name:BOWMAN MEDICAL CENTER FOR TMS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-276-4003
Mailing Address - Street 1:9777 WILSHIRE BLVD STE 507
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1905
Mailing Address - Country:US
Mailing Address - Phone:310-276-4003
Mailing Address - Fax:310-276-4073
Practice Address - Street 1:9777 WILSHIRE BLVD STE 707
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1907
Practice Address - Country:US
Practice Address - Phone:310-276-4003
Practice Address - Fax:310-276-4073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA731522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty