Organization · Type 2 NPI
Facebod Medspa PC
Medical Specialty Clinic/Center · La Verne, CA
NPI number
1689579773
Active
Practice location
2117 Foothill Blvd # 1
La Verne, CA 91750-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
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).
About NPI 1689579773
Facebod Medspa PC's National Provider Identifier is 1689579773, issued on Oct 9, 2026. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in La Verne, CA. The record was last updated on Oct 9, 2026.