Organization
EAST SIDE KETAMINE SPECIALISTS
Active
Other names
RPCS InscapeLA
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PEARL MD (DIRECTOR/PRESIDENT)
(707) 570-9981
Entity
Organization
Contact information
Practice address
143 N LARCHMONT BLVD FL 2, LOS ANGELES, CA 90004-3704
(707) 570-9981
Mailing address
1751 SILVERWOOD TER, LOS ANGELES, CA 90026-1469
(707) 570-9981
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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