| Ketamine Infusion Associates, Inc. | |
|
2975 Treat Boulevard Suite Number B-1 Concord CA 94518 | |
| (925) 357-9033 | |
| (925) 357-9036 |
| Full Name | Ketamine Infusion Associates, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2975 Treat Boulevard, Concord, California |
| Authorized Official Name and Position | Ran Kim (PRESIDENT) |
| Authorized Official Contact | 9253579033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketamine Infusion Associates, Inc. 2975 Treat Boulevard Suite Number B-1 Concord CA 94518 Ph: (925) 357-9033 | Ketamine Infusion Associates, Inc. 2975 Treat Boulevard Suite Number B-1 Concord CA 94518 Ph: (925) 357-9033 |
| NPI Number | 1841886488 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841886488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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