Organization · Type 2 NPI
Prospera Internal Medicine & Aesthetics, Inc.
Health Service Clinic/Center · San Diego, CA
NPI number
1992545230
Active
Practice location
4452 Park Blvd Ste 306
San Diego, CA 92116-4049
Fax (833) 972-5097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1992545230
Prospera Internal Medicine & Aesthetics, Inc.'s National Provider Identifier is 1992545230, issued on May 24, 2024. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in San Diego, CA. The record was last updated on Oct 24, 2026.