Organization Active NPI

Beautymark Anti Aging & Welness Center

  • Internal Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1336491901
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BEAUTYMARK ANTI AGING & WELNESS CENTER
Practice address
23521 Paseo de Valencia
Suite 310
Laguna Hills, CA 92653-3107
Phone
(949) 600-7714
Fax
(949) 600-7715
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Ester Mark, M.D.
Title
Ceo
Phone
(949) 600-7714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 310
Laguna Hills, CA 92653-3107

Mailing address

23521 Paseo de Valencia
Suite 310
Laguna Hills, CA 92653-3107
Phone (949) 600-7714

National Provider Directory

National Provider Directory
Tax ID family
Beautymark Anti Aging Welness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1336491901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 310",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-600-7714",
            "fax_number": "949-600-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 310",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-600-7714",
            "fax_number": "949-600-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTYMARK ANTI AGING & WELNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "ESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-600-7714",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.