| Keeban Nam, M.d., Inc. | |
|
23141 Moulton Pkwy Ste 213 Laguna Hills CA 92653-1204 | |
| (714) 794-9725 | |
| (617) 607-4064 |
| Full Name | Keeban Nam, M.d., Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 23141 Moulton Pkwy Ste 213, Laguna Hills, California |
| Authorized Official Name and Position | Keeban Caleb Nam (PRESIDENT) |
| Authorized Official Contact | 7147949725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keeban Nam, M.d., Inc. 1508 Barton Rd # 325 Redlands CA 92373-1410 Ph: (714) 794-9725 | Keeban Nam, M.d., Inc. 23141 Moulton Pkwy Ste 213 Laguna Hills CA 92653-1204 Ph: (714) 794-9725 |
| NPI Number | 1295372621 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295372621 | NPI | - | NPPES |
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