Eternal Youth Medical Spa

LBN: Eternal Youth Medical Spa
Eternal Youth Medical Spa is an health care organization with primary practice located at 902 N. Grand Avenue Suite 204, Santa Ana CA 92701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Eternal Youth Medical Spa can be contacted via phone (714) 558-9800, or through Knight, Maria Jett via phone (714) 558-9800.

Contact Information

Primary practice address
902 N. Grand Avenue Suite 204 Santa Ana CA 92701
Phone: (714) 558-9800
Fax: (714) 558-9803
Website:
Map and Directions
Authorized official contact:
Name: Knight, Maria Jett
Phone: (714) 558-9800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1649745274
LBN Legal business name Eternal Youth Medical Spa
DBA Doing business as
Authorized official Knight, Maria Jett
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 10th, 2018
Last updated Oct 10th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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