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SKIN THEORY AESTHETICS INC. NPI 1104446715


NPI Information

NPI: 1104446715
Provider Name: SKIN THEORY AESTHETICS INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2791 GREEN RIVER RD STE 103
CORONA, CA
ZIP 92882
Phone: (951) 735-5570
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SKIN THEORY AESTHETICS INC. is a family medicine in Corona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SKIN THEORY AESTHETICS INC. NPI is 1104446715. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2791 GREEN RIVER RD STE 103
CORONA, CA
ZIP 92882-452
Phone: (951) 735-5570
Fax: (951) 735-5572

The provider's authorized official is Shauna Michels .
The authorized official title is Owner/employee and has the following contact phone number (951) 735-5570.

The enumeration date for this NPI number is 4/23/2020 and was last updated on 4/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11841598232OTHERCALIFORNIAINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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