| NPI | 1578970117 |
|---|---|
| Doing Business As | ATHENIX BODY SCULPTING INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | JAMES HAEFNER CEO 949-600-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60329939) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2015-02-10 |