Healinque Aesthetic And Longevity Clinic INC.
Clinic/Center in Poway, CA. Organization (NPI-2).
NPI number1851203020
StatusActive
Last updated in NPPESSep 21, 2026
Details
- NPI
- 1851203020
- Entity type
- Organization (NPI-2)
- Legal business name
- Healinque Aesthetic And Longevity Clinic INC.
- Organization subpart
- No
- Enumeration date
- Sep 21, 2026
- Certification date
- Sep 21, 2026
- Last updated
- Sep 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Healinque Aesthetic And Longevity Institute (Doing Business As)
Practice location
15644 Pomerado Rd Ste 104Poway, CA 92064-2419
Phone 858-633-5991
Mailing address
15644 Pomerado Rd Ste 104Poway, CA 92064-2419
Authorized official
Azadeh Shirazi
Owner
8586335991
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