| Clear Ketamine Plus Psychiatry | |
|
5743 Corsa Ave Ste 114 Westlake Village CA 91362-4072 | |
| (805) 219-7870 | |
| (805) 244-0479 |
| Full Name | Clear Ketamine Plus Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5743 Corsa Ave Ste 114, Westlake Village, California |
| Authorized Official Name and Position | Marc Smith (PRESIDENT, CEO) |
| Authorized Official Contact | 8052197870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Ketamine Plus Psychiatry 5743 Corsa Ave Ste 114 Westlake Village CA 91362-4072 Ph: (805) 219-7870 | Clear Ketamine Plus Psychiatry 5743 Corsa Ave Ste 114 Westlake Village CA 91362-4072 Ph: (805) 219-7870 |
| NPI Number | 1831933266 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831933266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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