| Skin Theory Aesthetics Inc. | |
|
2791 Green River Rd Ste 103 Corona CA 92882-7452 | |
| (951) 735-5570 | |
| (951) 735-5572 |
| Full Name | Skin Theory Aesthetics Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2791 Green River Rd Ste 103, Corona, California |
| Authorized Official Name and Position | Shauna Michels (OWNER/EMPLOYEE) |
| Authorized Official Contact | 9517355570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skin Theory Aesthetics Inc. 2791 Green River Rd Ste 103 Corona CA 92882-7452 Ph: (951) 735-5570 | Skin Theory Aesthetics Inc. 2791 Green River Rd Ste 103 Corona CA 92882-7452 Ph: (951) 735-5570 |
| NPI Number | 1104446715 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 04/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104446715 | NPI | - | NPPES |
| 1841598232 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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