| NPI | 1700610821 |
|---|---|
| Doing Business As | SUMMIT MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN KIMBERLY SIY CHAN President 818-817-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |