Aethetic Arts Institute of Plastic Surgery,LLC

Organization Active NPI Customized Equipment (DME) · La Mesa, CA

NPI 1013298751 · NPPES record last updated Feb 20, 2012

Key facts

NPI
1013298751
Entity type
Organization (NPI type 2)
Primary specialty
Customized Equipment (DME) 332BC3200X
License
05C0001125 (CA)
Legal business name
AETHETIC ARTS INSTITUTE OF PLASTIC SURGERY,LLC
Practice address
8401 Grant Ave
La Mesa, CA 91941-5303
Phone
(619) 464-9876
Fax
(619) 464-9877
NPI assigned
Sep 8, 2011
Organization subpart
Yes
Parent organization (as reported)
AETHETIC ARTS INSTITUTE OF PLASTICV SURGERY,LLC

Authorized official

Name
Dr. Susan Kaweski, M.D.
Title
Medical Director
Phone
(619) 464-9876

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aesthetic Arts Institute of (2 organizations share this tax ID)
Part of
Aesthetic Arts Institute of

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 05C0001125 CA Yes

Addresses

Primary practice location

8401 Grant Ave
La Mesa, CA 91941-5303

Mailing address

8401 Grant Ave.
La Mesa, CA 91941
Phone (619) 464-9876

Other names

  • La Mesa Surgical Center Doing business as

Other providers in La Mesa, CA

All providers in La Mesa, CA · Customized Equipment (DME) in California

Sources for this page

Verify at the official NPI Registry.