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 |