KETAMINE CLINICS OF LOS ANGELES - NPI 1366641722 - Psychiatry & Neurology in Los Angeles, CA

Q: What is Steven L Mandel M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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About Ketamine Clinics Of Los Angeles NPPES

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

KETAMINE CLINICS OF LOS ANGELES (NPI 1366641722) is a healthcare organization registered as a psychiatry in Los Angeles, California and active in the NPI registry since July 2007. The organization lists Samuel H Mandel, Coo, as its authorized official.

NPPES Registry Identity

NPI1366641722

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSTEVEN L MANDEL M D A PROFESSIONAL CORPORATION

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

Fax(310) 730-5993

Organization SubpartNo

Authorized OfficialSamuel H MandelCoo · (310) 270-0625

Enumeration DateJuly 16, 2007

Last NPPES UpdateFebruary 21, 20236 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2023

✔ NPI 1366641722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedAnesthesiologyTaxonomy 207L00000X · License G028631 (CA)

6801 PARK TER STE 525, Los Angeles, CA 90045

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Other Names 1

Doing Business AsKetamine Clinics Of Los Angeles

Other Identifiers 1

Medicaid00G286310CA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)