institution
East Side Ketamine Specialists
Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, California
NPI 1679274559

East Side Ketamine Specialists is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Los Angeles, CA and is specialized in Mental Health (Including Community Mental Health Center). East Side Ketamine Specialists practices in Los Angeles, CA. The NPI Number for East Side Ketamine Specialists is 1679274559 and holds a License No. (California).

The current practice location address for East Side Ketamine Specialists is 143 N Larchmont Blvd Fl 2, Los Angeles, CA and can be reached out via phone at 707-570-9981.

Location: 143 N Larchmont Blvd Fl 2, Los Angeles, CA, 90026-1469
institution
Provider Profile Details
NPI Number
1679274559
Provider Name
East Side Ketamine Specialists
Credential
Provider Entity Type
Organization
Address
143 N Larchmont Blvd Fl 2, Los Angeles, CA, 90026-1469
Phone Number
707-570-9981
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
143 N Larchmont Blvd Fl 2
City
State
Zip
90004-3704
Phone Number
707-570-9981
Fax Number
person
Provider Business Mailing Address Details
Address
143 N Larchmont Blvd Fl 2
City
State
Zip
90004-3704
Phone Number
707-570-9981
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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