National Provider Identifier Database

LA QUINTA MEDSPA INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

LA QUINTA MEDSPA, INC.
47-350 WASHINGTON STREET
SUITE 103
LA QUINTA, CA92253
Phone: 760-396-9353
Fax: 760-564-9577
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for LA QUINTA MEDSPA, INC.

NPI Number 1053506287
Legal business name
LBN
LA QUINTA MEDSPA, INC.
Authorized official MATTHEW WERNER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/11/2007
Last updated 02/22/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G79952

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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