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SKIN ENVY MED SPA AND WEIGHT LOSS NPI 1861627655


NPI Information

NPI: 1861627655
Provider Name: SKIN ENVY MED SPA AND WEIGHT LOSS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8112 MILLIKEN AVE STE 103-1
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 948-8050
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SKIN ENVY MED SPA AND WEIGHT LOSS is a family medicine in Rancho Cucamonga, 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 ENVY MED SPA AND WEIGHT LOSS NPI is 1861627655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8112 MILLIKEN AVE STE 103-1
RANCHO CUCAMONGA, CA
ZIP 91730-471
Phone: (909) 948-8050
Fax: (909) 948-8061

The provider's authorized official is Dan Vasile .
The authorized official title is President and has the following contact phone number (909) 948-8050.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 5/21/2009.


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 Medicine20A6930CALIFORNIAYes

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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