BEAUTOLOGIE FRESNO INC NPI 1093471948

NPI Information

NPI: 1093471948
Provider Name: BEAUTOLOGIE FRESNO, INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2046513

Address:
9491 N FORT WASHINGTON RD # 101
FRESNO, CA
ZIP 93730
Phone: (661) 327-3800
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BEAUTOLOGIE FRESNO, INC is an ambulatory surgical clinic center in Fresno, CA. BEAUTOLOGIE FRESNO, INC NPI is 1093471948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9491 N FORT WASHINGTON RD # 101
FRESNO, CA
ZIP 93730-660
Phone: (661) 327-3800

The provider's authorized official is Darshan Shah .
The authorized official title is Founder and has the following contact phone number (661) 327-3800.

The CLIA number assigned to this NPI record is 05D2046513 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2021 and was last updated on 11/23/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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