Organization · NPI-2
Aesthetique Laser Institute, INC.
Clinic/Center · Beverly Hills, CA
NPI number1649568023
StatusActive
Last updated in NPPESMay 5, 2020
Details
- NPI
- 1649568023
- Entity type
- Organization (NPI-2)
- Legal business name
- Aesthetique Laser Institute, INC.
- Organization subpart
- No
- Enumeration date
- Jul 19, 2011
- Certification date
- May 5, 2020
- Last updated
- May 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | A39618 | CA | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Other names
- Beverly Hills Drx Sports Medicine (Doing Business As)
- Beverly Hills Drx Concierge (Doing Business As)
Practice location
8920 Wilshire Blvd Ste 603Beverly Hills, CA 90211-1970
Phone 310-734-7333
Mailing address
8920 Wilshire Blvd Ste 603Beverly Hills, CA 90211-1970
Phone 310-734-7333
Authorized official
Sharon Mcbeth
Ceo
9496467336
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