| NPI | 1366641722 |
|---|---|
| Doing Business As | KETAMINE CLINICS OF LOS ANGELES |
| Entity Type | Organization |
| Authorized Contact | SAMUEL H MANDEL COO 310-270-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G028631) |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2023-02-21 |