Vividlife Ketamine Clinic

LBN: Vividlife Ketamine Clinic
Vividlife Ketamine Clinic is an health care organization with primary practice located at 5167 Clayton Rd Ste H , Concord CA 94521-3170. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Vividlife Ketamine Clinic can be contacted via phone (323) 336-1178, or through Navarro, Be-Verlyn via phone (323) 336-1178.

Contact Information

Primary practice address
5167 Clayton Rd Ste H Concord CA 94521-3170
Phone: (323) 336-1178
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Navarro, Be-Verlyn Nurse Practitioner (NP)
Phone: (323) 336-1178

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1992575682
LBN Legal business name Vividlife Ketamine Clinic
DBA Doing business as
Authorized official Navarro, Be-Verlyn Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2024
Last updated Jan 4th, 2024 - about 11 months ago

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.

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