Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketamine Treatment Center

Organization Substance Use Disorder Rehabilitation Hospital Unit · NPI 1699522425

Ketamine Treatment Center is a Substance Use Disorder Rehabilitation Hospital Unit in Canoga Park, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6921-6923 Alabama Ave
Canoga Park, CA 91303
Phone: (818) 274-4609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Hospital Unit (primary) Taxonomy 276400000X

Record details

NPI number1699522425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Mirshojae — Employee · (818) 606-2319
NPI enumeratedApril 30, 2024
Last updated in NPPESMay 14, 2024
Certification dateMay 7, 2024
Mailing address5985 Topanga Canyon Blvd, Woodland Hills, CA 91367-3623