Provider Demographics
NPI:1265941561
Name:BEVERLY HILLS TMS, LLC
Entity type:Organization
Organization Name:BEVERLY HILLS TMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-641-3972
Mailing Address - Street 1:1801 CENTURY PARK E STE 2240
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2324
Mailing Address - Country:US
Mailing Address - Phone:424-488-6870
Mailing Address - Fax:
Practice Address - Street 1:8484 WILSHIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3235
Practice Address - Country:US
Practice Address - Phone:310-360-7690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
G607832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty