Provider Demographics
NPI:1649151457
Name:ALOHA TMS A MEDICAL CORPORATION
Entity type:Organization
Organization Name:ALOHA TMS A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:NANTHANAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LACLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-905-4220
Mailing Address - Street 1:180 W BULLARD AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-0998
Mailing Address - Country:US
Mailing Address - Phone:559-203-3775
Mailing Address - Fax:
Practice Address - Street 1:180 W BULLARD AVE STE 105
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0998
Practice Address - Country:US
Practice Address - Phone:559-203-3775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty