| NPI | 1578924015 |
|---|---|
| Doing Business As | COSMETIC, AESTHETIC AND ANTI-AGING CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHELSON CEO 805-485-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G31906) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |