Organization · Type 2 NPI

Innerbloom Ketamine Therapy

Integrative Medicine Physician · San Luis Obispo, CA

NPI number 1184430696 Active

Practice location

100 Casa St Ste D3
San Luis Obispo, CA 93405-5827

Fax (805) 567-6604

Specialties and licenses

TaxonomyCodeLicense
Integrative Medicine Physician Primary 202D00000XNone listed

Integrative Medicine Physician: A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body's innate healing response. Appropriate consideration is given to use of less-invasive and less-harmfu…

Another provider at this address

About NPI 1184430696

Innerbloom Ketamine Therapy's National Provider Identifier is 1184430696, issued on Dec 9, 2024. The primary taxonomy on file is Integrative Medicine Physician (202D00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 3, 2026.