Organization · Type 2 NPI

East Side Ketamine Specialists

Mental Health Clinic/Center (Including Community Mental Health Center) · Los Angeles, CA

NPI number 1679274559 Active

Practice location

143 N Larchmont Blvd Fl 2
Los Angeles, CA 90004-3704

Call (707) 570-9981 Map

Mailing address

1751 Silverwood Ter
Los Angeles, CA 90026-1469

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1679274559

East Side Ketamine Specialists's National Provider Identifier is 1679274559, issued on Mar 16, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 16, 2023.