KETAMINE UPLIFT INC.

MARINA DEL REY, CA
NPI1942156955
Entity TypeOrganization
Authorized ContactGEOFFERY ALAN O'NEILL
President/Owner/Medical Director
310-965-6666
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2026-03-10
Last Update Date2026-04-10
Business Address
KETAMINE UPLIFT INC.
4640 ADMIRALTY WAY # 718A
MARINA DEL REY, CA 90292-6621
Phone number: 310-280-4440
Mailing Address
KETAMINE UPLIFT INC.
3111 VIA DOLCE APT 506
MARINA DEL REY, CA 90292-5077
Phone number: 310-965-6666