| NPI | 1245000249 |
|---|---|
| Doing Business As | FLAWLESS SKIN IV HYDRATION MED SPA |
| Entity Type | Organization |
| Authorized Contact | EDITH ELLIS Founder/CEO 323-538-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| 171400000X | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |