Bay Area Ketamine Center, Inc.
Organization Active NPI Psychiatry Physician · Los Altos, CA
NPI 1194432799 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1194432799
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- BAY AREA KETAMINE CENTER, INC.
- Practice address
- 746 Altos Oaks Dr
Los Altos, CA 94024-5401 - Phone
- (415) 529-4559
- Fax
- (855) 967-2955
- NPI assigned
- Nov 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul Wender, MD
- Title
- Owner
- Phone
- (415) 529-4559
Practitioners 1
-
Paul Wender, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
746 Altos Oaks Dr
Los Altos, CA 94024-5401
Mailing address
746 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone (415) 529-4559
Other providers in Los Altos, CA
- Alison Elizabeth Barker
- Alene Baronian
- Mayra Elisa Buitron Barre
- Bass Medical Group
- Melissa Ann Baxter
- Jeffrey Brent Beagle
- Diane Beatty
- Thomas Becker
- Leslie Fried Behar
- Becky A Bell
All providers in Los Altos, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.