Organization Name: | ADVANCED AESTHETICS AND REJUVINATION INC |
NPI Number: | 1114248044 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID A GARCIA (PRESIDENT) |
Mailing Address: | 30701 Lorain Rd Ste A North Olmsted |
State: | OH US |
Postal Code: | 440706325 |
Phone Number: | 4402745000 |
Fax Number: | 4407168608 |
NPI Enumeration Date: | 06/15/2010 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 1402156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |