KETAMINE TREATMENT CENTER
NPI 1699522425
Rehabilitation, Substance Use Disorder Unit in Canoga Park, CA

Q: What is Ketamine Treatment Center's NPI number?

The NPI number for Ketamine Treatment Center is 1699522425. It was assigned to this organization in the NPPES registry on April 30, 2024.

Q: What is Ketamine Treatment Center's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

Active since April 30, 2024

6921-6923 ALABAMA AVE, CANOGA PARK, CA 91303(818) 274-4609 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2024, Apr 30, 2024 (2 updates tracked since 2024).

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About Ketamine Treatment Center NPPES

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

KETAMINE TREATMENT CENTER (NPI 1699522425) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Canoga Park, California and active in the NPI registry since April 2024. The organization lists Jason Mirshojae, Employee, as its authorized official.

NPPES Registry Identity

NPI1699522425

Entity TypeOrganization

Primary Taxonomy276400000X

Legal Business NameKETAMINE TREATMENT CENTER

Location Address6921-6923 ALABAMA AVECanoga Park, CA 91303

Mailing Address5985 Topanga Canyon BlvdWoodland Hills, CA 91367-3623

Phone(818) 274-4609

Organization SubpartNo

Authorized OfficialJason MirshojaeEmployee · (818) 606-2319

Enumeration DateApril 30, 2024

Last NPPES UpdateMay 14, 20242 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1699522425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units

Taxonomy Code276400000X

Definition

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

6921-6923 ALABAMA AVE, Canoga Park, CA 91303

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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 Treatment Center's NPI number?

The NPI number for Ketamine Treatment Center is 1699522425. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Ketamine Treatment Center located?

Ketamine Treatment Center is located at 6921-6923 Alabama Ave, Canoga Park, CA 91303. The listed phone number is (818) 274-4609.

What is Ketamine Treatment Center's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

When was this NPI record last updated?

The NPPES record for Ketamine Treatment Center was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.