| NPI | 1831515386 |
|---|---|
| Doing Business As | MEDSPA XL |
| Entity Type | Organization |
| Authorized Contact | BRYAN DOONAN President 760-753-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |