Ketamine Clinics Of Los Angeles
LBN: Steven L Mandel M D A Professional Corporation
Ketamine Clinics Of Los Angeles is an health care organization with primary practice located at 6801 Park Ter Ste 525 , Los Angeles CA 90045-1543. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Steven L Mandel M D A Professional Corporation can be contacted via phone (310) 270-0625, or through Mandel, Samuel H via phone (310) 270-0625.
Contact Information
Primary practice address
6801 Park Ter Ste 525
Los Angeles CA 90045-1543
Phone: (310) 270-0625
Fax: (310) 730-5993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G028631 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1366641722 |
|---|---|
| LBN Legal business name | Steven L Mandel M D A Professional Corporation |
| DBA Doing business as | Ketamine Clinics Of Los Angeles |
| Authorized official | Mandel, Samuel H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Feb 21st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366641722 | NPPES |
| California | MEDICAID | 00G286310 |
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