Ketamine Clinics LLC
NPI 1154894616 · Ambulatory Surgical Clinic/Center · Los Angeles, CA
Ketamine Clinics LLC is a Ambulatory Surgical Clinic/Center organization in Los Angeles, CA (NPI 1154894616).
Provider details
- NPI number
- 1154894616
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Mandel, Chief Operating Officer(310) 270-0625
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ketamine Clinics of Los Angeles
Additional practice locations (1)
- 11645 Wilshire Blvd Ste 852Los Angeles, CA 90025-6808Phone: (310) 270-0625
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2019-01-08
Frequently asked questions
- What is Ketamine Clinics LLC's NPI number?
- Ketamine Clinics LLC's National Provider Identifier (NPI) is 1154894616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Clinics LLC?
- Ketamine Clinics LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ketamine Clinics LLC located?
- Ketamine Clinics LLC's practice location on file with NPPES is 6801 Park Ter Ste 525, Los Angeles, CA 90045-1543.
- What is Ketamine Clinics LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Clinics LLC is (310) 270-0625.
- Who is the authorized official for Ketamine Clinics LLC?
- The authorized official listed on Ketamine Clinics LLC's NPPES record is Samuel Mandel, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Clinics LLC's NPI active?
- Yes — Ketamine Clinics LLC's NPI (1154894616) is active in the NPPES registry as of the last update on 2019-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.