Aesthetic Artistry Surgical and Medical Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Folsom, CA
NPI 1124273685 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1124273685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- A63302 (CA)
- Legal business name
- AESTHETIC ARTISTRY SURGICAL AND MEDICAL CENTER LLC
- Practice address
- 1841 Iron Point Rd
Folsom, CA 95630-8838 - Phone
- (916) 983-9895
- Fax
- (916) 983-9850
- NPI assigned
- Nov 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Lisa Bowman
- Title
- Delegated Official
- Phone
- (208) 559-7417
Practitioners 2
-
Lauren Tracy Daly, M.D.
National Provider Directory
Locations
1841 Iron Point Rd
Folsom, CA 95630
Phone (916) 799-0756
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A63302 | CA | Yes |
Addresses
Primary practice location
1841 Iron Point Rd
Folsom, CA 95630-8838
Mailing address
2220 E Bidwell St
Folsom, CA 95630-3546
Phone (916) 983-9895
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All providers in Folsom, CA · Ambulatory Surgical Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.