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KETAMINE CLINICS LLC
NPI 1154894616
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since January 08, 2019
6801 PARK TER STE 525, LOS ANGELES, CA 90045(310) 270-0625 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ketamine Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETAMINE CLINICS LLC (NPI 1154894616), doing business as Ketamine Clinics Of Los Angeles, is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Los Angeles and lists Samuel Herbert Mandel, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1154894616
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKETAMINE CLINICS LLC
Location Address6801 PARK TER STE 525Los Angeles, CA 90045-1543
Mailing Address6801 Park Ter Ste 525Los Angeles, CA 90045-1543 · (310) 270-0625 · Fax (310) 730-5993
Phone(310) 270-0625
Organization SubpartNo
Authorized OfficialSamuel Herbert MandelChief Operating Officer · (310) 270-0625
Enumeration DateJanuary 8, 2019
✔ NPI 1154894616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6801 PARK TER STE 525, Los Angeles, CA 90045
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Other Names 1

Doing Business AsKetamine Clinics Of Los Angeles

Secondary Practice Location 1

Location 111645 Wilshire Blvd Ste 852Los Angeles, CA 90025-6808 · Phone (310) 270-0625

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY ISAAC CANTRELL MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6801 PARK TER STE 525
LOS ANGELES, CA 90045
Los Angeles County (310) 590-7435
CONOR MICHAEL GLOVER
Physician Assistant
6801 PARK TER STE 525
LOS ANGELES, CA 90045
Los Angeles County (424) 343-8889
STEVEN L MANDEL M D A PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
6801 PARK TER STE 525
LOS ANGELES, CA 90045
Los Angeles County (310) 270-0625
STEVEN LOUIS MANDEL MD
Anesthesiology
6801 PARK TER STE 525
LOS ANGELES, CA 90045
Los Angeles County (310) 270-0625
EDITH SW CHAK
Nurse Practitioner (Psychiatric/Mental Health)
6801 PARK TER STE 525
LOS ANGELES, CA 90045
Los Angeles County (310) 270-0625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketamine Clinics LLC's NPI number?

The NPI number for Ketamine Clinics LLC is 1154894616. It was assigned to this organization in the NPPES registry on January 8, 2019. The provider is doing business as Ketamine Clinics of Los Angeles.

Where is Ketamine Clinics LLC located?

Ketamine Clinics LLC is located at 6801 Park Ter Ste 525, Los Angeles, CA 90045. The listed phone number is (310) 270-0625.

What is Ketamine Clinics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Ketamine Clinics LLC was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.