Organization · Type 2 NPI
Medical Spa Retreat, Inc
Medical Specialty Clinic/Center · Los Angeles, CA
Practice location
3523 W Olympic Blvd Fl 2
Los Angeles, CA 90019-3502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | AC14670 (CA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1164805487
Medical Spa Retreat, Inc's National Provider Identifier is 1164805487, issued on Jul 6, 2015. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 6, 2015.