KEEBAN NAM, M.D., INC.
NPI 1295372621
Clinic/Center - Adolescent and Children Mental Health in Laguna Hills, CA

Q: What is Keeban Nam, M.D., Inc.'s NPI number?

The NPI number for Keeban Nam, M.D., Inc. is 1295372621. It was assigned to this organization in the NPPES registry on December 4, 2019.

Q: What is Keeban Nam, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since December 04, 2019

23141 MOULTON PKWY STE 213, LAGUNA HILLS, CA 92653(714) 794-9725(617) 607-4064 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2023, Dec 20, 2019, Dec 4, 2019 (3 updates tracked since 2019).

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About Keeban Nam, M.d., Inc. NPPES

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

KEEBAN NAM, M.D., INC. (NPI 1295372621) is a healthcare organization registered as an adolescent and children mental health in Laguna Hills, California and active in the NPI registry since December 2019. The organization lists Keeban Caleb Nam, President, as its authorized official.

NPPES Registry Identity

NPI1295372621

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameKEEBAN NAM, M.D., INC.

Location Address23141 MOULTON PKWY STE 213Laguna Hills, CA 92653-1204

Mailing Address1508 Barton Rd # 325Redlands, CA 92373-1410 · (714) 794-9725 · Fax (617) 607-4064

Phone(714) 794-9725

Fax(617) 607-4064

Organization SubpartNo

Authorized OfficialKeeban Caleb NamPresident · (714) 794-9725

Enumeration DateDecember 4, 2019

Last NPPES UpdateJanuary 17, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2023

✔ NPI 1295372621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedPsychiatric UnitTaxonomy 273R00000X

Also ListedPsychiatric HospitalTaxonomy 283Q00000X

23141 MOULTON PKWY STE 213, Laguna Hills, CA 92653

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Other Providers at the Same Location NPPES 9

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

MRS. CHRISTINE JEANEUN KIM PMHNP

Nurse Practitioner (Psychiatric/Mental Health)