ETERNAL YOUTH MEDICAL SPA – NPI #1649745274
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

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ETERNAL YOUTH MEDICAL SPA is a surgeon located in SANTA ANA, CA. NPPES has assigned the NPI number 1649745274 to ETERNAL YOUTH MEDICAL SPA on October 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

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 ETERNAL YOUTH MEDICAL SPA below.

NPI Profile for
ETERNAL YOUTH MEDICAL SPA

NPI Number

1649745274

Enumeration Date

Oct 10, 2018
(more than 7 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

ETERNAL YOUTH MEDICAL SPA

Primary location

902 N. GRAND AVENUE
SUITE 204
SANTA ANA, CA 92701

Phone: (714) 558-9800 Fax: (714) 558-9803

Mailing address

Same as primary location

Organization Subpart

Yes - ETERNAL YOUTH MEDICAL SPA is subpart of another organization.

Authorized Official

MARIA KNIGHT
OFFICE DIRECTOR
Phone: (714) 558-9800

Updated

Oct 10, 2018

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
2086S0122X - Surgery / Plastic and Reconstructive Surgery (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.