| NPI | 1154894616 |
|---|---|
| Doing Business As | KETAMINE CLINICS OF LOS ANGELES |
| Entity Type | Organization |
| Authorized Contact | SAMUEL HERBERT MANDEL Chief Operating Officer 310-270-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |