Organization
KETAMINE INFUSION ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAN KIM M.D. (PRESIDENT)
(925) 357-9033
Entity
Organization
Contact information
Practice address
2975 TREAT BOULEVARD, SUITE NUMBER B-1, CONCORD, CA 94518
(925) 357-9033
(925) 357-9036
Mailing address
2975 TREAT BOULEVARD, SUITE NUMBER B-1, CONCORD, CA 94518
(925) 357-9033
(925) 357-9036
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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