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Contact Information

THE CALIFORNIA INSTITUTE FOR AESTHETIC MEDICINE
4150 REGENTS PARK ROW
SUITE 360
LA JOLLA, CA92037-9124
 Phone: 858-678-0220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for THE CALIFORNIA INSTITUTE FOR AESTHETIC MEDICINE · (Female)

NPI Number 1508272337
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2014
Last updated 07/01/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 37788
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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