| Wellness Tms | |
|
500 W Willow St Ste 101 Long Beach CA 90806-2831 | |
| (562) 784-4111 | |
| (562) 488-9200 |
| Full Name | Wellness Tms |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 500 W Willow St Ste 101, Long Beach, California |
| Authorized Official Name and Position | Frederick Quindt (MANAGER) |
| Authorized Official Contact | 5627844111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Tms 500 W Willow St Ste 101 Long Beach CA 90806-2831 Ph: (562) 784-4111 | Wellness Tms 500 W Willow St Ste 101 Long Beach CA 90806-2831 Ph: (562) 784-4111 |
| NPI Number | 1023862737 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 11/29/2024 |
| Certification Date | 11/29/2024 |
| Medicare PECOS PAC ID | 4880122811 |
|---|---|
| Medicare Enrollment ID | O20250103002579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023862737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Hyunjib Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659097459 PECOS PAC ID: 0042676025 Enrollment ID: I20230517001415 |
| Provider Name | Riteshwar Nath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659790723 PECOS PAC ID: 4082917943 Enrollment ID: I20250113001273 |
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