La Quinta Medspa, Inc.

NPI 1053506287 - Specialist - 174400000X

NPI Details
NPI 1053506287
Enumeration Date 09/11/2007
Last Updated 02/22/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW LOREN MATTHEW
Position MEDICAL DIRECTOR
Phone (760) 396-9353
Fax (760) 564-9577
Practice Location
47-350 WASHINGTON STREET
SUITE 103
LA QUINTA CA, 92253, US
Phone (760) 396-9353
Fax (760) 564-9577
Business Location
47350 WASHINGTON ST
SUITE 103
LA QUINTA CA, 92253-8847, US
Phone (760) 396-9353
Fax (760) 564-9577
Toxanomy
Taxonomy Code 174400000X
License State California
License Number G79952
Remove 1053506287 NPI Number
 

According to our database, La Quinta Medspa, Inc. NPI is 1053506287, taxonomy code is 174400000X and license number is G79952, license state is located at California. La Quinta Medspa, Inc. physically located at 47-350 Washington Street, La Quinta CA, 92253. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053506287 NPI number is provided on an as is basis without warranty of any kind. 1053506287 is maintained by the National Plan & Provider Enumeration System. The contents of La Quinta Medspa, Inc. are for informational purposes only.