Organization · Type 2 NPI
Eternal Youth Medical Spa
Plastic and Reconstructive Surgery Physician · Santa Ana, CA
NPI number
1649745274
Active
Practice location
902 N. Grand Avenue, Suite 204
Santa Ana, CA 92701
Fax (714) 558-9803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
Other plastic and reconstructive surgery physician providers in Santa Ana
About NPI 1649745274
Eternal Youth Medical Spa's National Provider Identifier is 1649745274, issued on Oct 10, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Santa Ana, CA. The record was last updated on Oct 10, 2018.