| Kali West, LLC | |
|
17676 Vista Rancho Court Rancho Santa Fe CA 92067 | |
| (760) 343-5759 | |
| Not Available |
| Full Name | Kali West, LLC |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 17676 Vista Rancho Court, Rancho Santa Fe, California |
| Authorized Official Name and Position | Ashley Amundson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7603435759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kali West, LLC 2912 Managua Pl Carlsbad CA 92009-7105 Ph: (760) 343-5759 | Kali West, LLC 17676 Vista Rancho Court Rancho Santa Fe CA 92067 Ph: (760) 343-5759 |
| NPI Number | 1225818826 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225818826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (NU) | Primary |
Kelli C. Karches, M.D., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6037 La Granada, Rancho Santa Fe, CA 92067 Phone: 858-756-2116 |