FUENTES COSMETIC FACILITY, INC. – NPI #1376686550
Clinic/Center

FUENTES COSMETIC FACILITY, INC. is an AHC clinic located in HUNTINGTON, NY. NPPES has assigned the NPI number 1376686550 to FUENTES COSMETIC FACILITY, INC. on February 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FUENTES COSMETIC FACILITY, INC. below.

NPI Profile for
FUENTES COSMETIC FACILITY, INC.

NPI Number
1376686550
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FUENTES COSMETIC FACILITY, INC.
Primary location
120 NEW YORK AVE
STE. 1W
HUNTINGTON, NY 11743-2743
Phone: (631) 385-9377 Fax:
Mailing address
11999 SAN VICENTE BLVD
STE. 440
LOS ANGELES, CA 90049-5131
Phone: (310) 471-5852 Fax: (310) 471-3958
Organization Subpart
No
Authorized Official
CANDIDO FUENTES-FELIX
OWNER
Phone: (631) 385-9377
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.