Organization Active NPI

Rejuvenating Skin Care Medical Aesthetics

  • Nurse Practitioner
  • Montebello, CA
National Provider Identifier
1326408451
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP16811 Issued in CA
Legal business name
REJUVENATING SKIN CARE MEDICAL AESTHETICS
Practice address
709 W Beverly Blvd Ste 202
Montebello, CA 90640-3600
Phone
(323) 726-9692
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Darlene Lynda Sanchez
Title
President
Phone
(213) 590-1632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X NP16811 CA Primary

Addresses

Primary practice location

709 W Beverly Blvd Ste 202
Montebello, CA 90640-3600

Mailing address

709 W Beverly Blvd Ste 202
Montebello, CA 90640-3600
Phone (323) 726-9692

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1326408451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W BEVERLY BLVD STE 202",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403600",
            "telephone_number": "323-726-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W BEVERLY BLVD STE 202",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403600",
            "telephone_number": "323-726-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATING SKIN CARE MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "LYNDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-590-1632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP16811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.