BEAUTOLOGIE STOCKTON INC NPI 1184380032

NPI Information

  • NPI: 1184380032
  • Provider Name: BEAUTOLOGIE STOCKTON, INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D1051930
  • Address: 4643 QUAIL LAKES DR STE 103
    STOCKTON, CA
    ZIP 95207
  • Phone: (661) 327-3800

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NPI Details

BEAUTOLOGIE STOCKTON, INC is an ambulatory surgical clinic center in Stockton, CA. BEAUTOLOGIE STOCKTON, INC NPI is 1184380032. The provider is registered as an organization entity type.

The provider's business location address is:

4643 QUAIL LAKES DR STE 103
STOCKTON, CA
ZIP 95207-269
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 05D1051930 - 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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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