| NPI | 1326163502 |
|---|---|
| Doing Business As | COSMETIC, AESTHETIC AND ANTI-AGING CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID N. MICHELSON President 805-495-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G31906) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |