Organization
INLAND EMPIRE KETAMINE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM GONZALEZ (OWNER)
(909) 530-5190
Entity
Organization
Contact information
Practice address
215 CAJON ST, REDLANDS, CA 92373-5201
(909) 414-7616
Mailing address
215 CAJON ST, REDLANDS, CA 92373-5201
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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