Active NPI
Rejuvenating Skin Care Medical Aesthetics
- Nurse Practitioner
- Montebello, CA
National Provider Identifier
1326408451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP16811
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 DirectoryNPI 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.