Organization
CLEAR KETAMINE PLUS PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC SMITH MD (PRESIDENT, CEO)
(805) 219-7870
Entity
Organization
Contact information
Practice address
5743 CORSA AVE STE 114, WESTLAKE VILLAGE, CA 91362-4072
(805) 219-7870
(805) 244-0479
Mailing address
5743 CORSA AVE STE 114, WESTLAKE VILLAGE, CA 91362-4072
(805) 219-7870
(805) 244-0479
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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