DR. KEEBAN CALEB NAM M.D. NPI 1114347333

NPI Information

  • NPI: 1114347333
  • Provider Name: DR. KEEBAN CALEB NAM, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 23141 MOULTON PKWY STE 213
    LAGUNA HILLS, CA
    ZIP 92653
  • Phone: (949) 258-3741

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NPI Details

DR. Keeban Caleb Nam, M.D. is a child and adolescent psychiatry psychiatry neurology in Laguna Hills, CA with 12 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Keeban Caleb Nam, M.D. NPI is 1114347333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA
ZIP 92653-204
Phone: (949) 258-3741
Fax: (949) 258-3742

The NPI 1114347333 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryA140587CALIFORNIANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA140587CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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