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Organization
KINTSUGI TMS
Active
Organization
KINTSUGI TMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH SWEENEY (MANAGER)
(949) 500-8833
Entity
Organization
Contact information
Practice address
24012 CALLE DE LA PLATA STE 430, LAGUNA HILLS, CA 92653-7623
(949) 500-8833
Mailing address
24012 CALLE DE LA PLATA STE 430, LAGUNA HILLS, CA 92653-7623
(949) 500-8833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477868578
—
CA
Enumeration date
05/06/2020
Last updated
05/06/2020
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