EAST SIDE KETAMINE SPECIALISTS is a mental health (including community mental health center) clinic center in Los Angeles, CA. EAST SIDE KETAMINE SPECIALISTS NPI is 1679274559. The provider is registered as an organization entity type.
The provider's business location address is:
143 N LARCHMONT BLVD FL 2 LOS ANGELES, CA ZIP 90004-704 Phone: (707) 570-9981
The provider's authorized official is Rachel Pearl . The authorized official title is Director/president and has the following contact phone number (707) 570-9981.
The enumeration date for this NPI number is 3/16/2023 and was last updated on 3/16/2023.
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:
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: 3/30/2025
NPI Synchronization or Removal
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