Organization
BAY AREA KETAMINE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WENDER MD (OWNER)
(415) 529-4559
Entity
Organization
Contact information
Practice address
746 ALTOS OAKS DR, LOS ALTOS, CA 94024-5401
(415) 529-4559
(855) 967-2955
Mailing address
746 ALTOS OAKS DR, LOS ALTOS, CA 94024-5401
(415) 529-4559
(855) 967-2955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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