Organization · Type 2 NPI
La Quinta Medspa, Inc.
Specialist · La Quinta, CA
NPI number
1053506287
Active
Practice location
47-350 Washington Street, Suite 103
La Quinta, CA 92253
Fax (760) 564-9577
Mailing address
47350 Washington St, Suite 103
La Quinta, CA 92253-8847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G79952 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1053506287
La Quinta Medspa, Inc.'s National Provider Identifier is 1053506287, issued on Sep 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Quinta, CA. The record was last updated on Feb 22, 2010.