ADVANCED SKINCARE SURGERY CENTER – NPI #1700114303
Clinic/Center

ADVANCED SKINCARE SURGERY CENTER is an AHC clinic located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1700114303 to ADVANCED SKINCARE SURGERY CENTER on November 20, 2009. 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 Oct 30, 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 ADVANCED SKINCARE SURGERY CENTER below.

NPI Profile for
ADVANCED SKINCARE SURGERY CENTER

NPI Number
1700114303
Enumeration Date

(more than 16 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
ADVANCED SKINCARE SURGERY CENTER
Primary location
369 SAN MIGUEL DR STE 235
NEWPORT BEACH, CA 92660-7816
Phone: (949) 706-2887 Fax: (949) 706-2846
Mailing address
Same as primary location
Organization Subpart
Yes - ADVANCED SKINCARE SURGERY CENTER is subpart of another organization.
Authorized Official
JENNIFER ARMSTRONG
OWNER
Phone: (949) 706-2887
Updated
Certification Date
Oct 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)		 CA C1202500

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.