| Bay Area Ketamine Center, Inc. | |
|
746 Altos Oaks Dr Los Altos CA 94024-5401 | |
| (415) 529-4559 | |
| (855) 967-2955 |
| Full Name | Bay Area Ketamine Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 746 Altos Oaks Dr, Los Altos, California |
| Authorized Official Name and Position | Paul Wender (OWNER) |
| Authorized Official Contact | 4155294559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Ketamine Center, Inc. 746 Altos Oaks Dr Los Altos CA 94024-5401 Ph: (415) 529-4559 | Bay Area Ketamine Center, Inc. 746 Altos Oaks Dr Los Altos CA 94024-5401 Ph: (415) 529-4559 |
| NPI Number | 1194432799 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194432799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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