Young Medical Spa
Physician Assistant, Medical in Lansdale, PA. Organization (NPI-2).
NPI number1609314186
StatusActive
Last updated in NPPESFeb 6, 2017
Details
- NPI
- 1609314186
- Entity type
- Organization (NPI-2)
- Legal business name
- Young Medical Spa
- Organization subpart
- No
- Enumeration date
- Feb 6, 2017
- Last updated
- Feb 6, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA001192L | PA | Yes |
Practice location
635 N Broad StLansdale, PA 19446-2316
Phone 610-715-3199
Mailing address
635 N Broad StLansdale, PA 19446-2316
Phone 610-715-3199
Authorized official
Lynn Charlotte Testaiuti
Physician Assistant
6107153199
Is something wrong?
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