Organization · NPI-2
31 Aesthetics & Wellness INC
Family Medicine · Arcadia, CA
NPI number1447007828
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1447007828
- Entity type
- Organization (NPI-2)
- Legal business name
- 31 Aesthetics & Wellness INC
- Organization subpart
- No
- Enumeration date
- May 2, 2024
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | – | – | |
| 261QD0000X | Clinic/Center, Dental | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
311 E Live Oak AveArcadia, CA 91006-5618
Phone 626-348-8228
Mailing address
311 E Live Oak AveArcadia, CA 91006-5618
Phone 626-348-8228
Authorized official
Lan Vo
President
6263488228
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