DEJA VU MEDSPA NPI 1902393168

NPI Information

NPI: 1902393168
Provider Name: DEJA VU MEDSPA

Doing Business As: DEJA VU MED SPA

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
38 E HUNTINGTON DR
ARCADIA, CA
ZIP 91006
Phone: (626) 696-0049
Get Directions

DEJA VU MEDSPA is a primary care clinic center in Arcadia, CA. DEJA VU MEDSPA NPI is 1902393168. The provider is registered as an organization entity type.
The provider Is Doing Business As Deja Vu Med Spa.

The provider's business location address is:

38 E HUNTINGTON DR
ARCADIA, CA
ZIP 91006-253
Phone: (626) 696-0049

The provider's authorized official is John P Beauclair .
The authorized official title is Owner6266960049 and has the following contact phone number (626) 696-0049.

The enumeration date for this NPI number is 4/13/2018 and was last updated on 4/13/2018.

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	261QP2300X	Clinic/Center	Primary Care	G17614	CALIFORNIA	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

NPI Synchronization or Removal

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