Luxx Facial Spa LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LUXX FACIAL SPA LLC

Practice address

43020 Black Deer Loop Ste 204
Temecula, CA 92590-3406

Phone

(951) 528-0601

NPI assigned

Jun 7, 2024

Organization subpart

No

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

Authorized official

Name

Veronica Williams, FNP

Title

Ceo

Phone

(951) 528-0601

Specialties & licenses 1

Addresses

Other names 1

• Temecula Skin Deep Doing business as

Locations

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1396587705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43020 BLACK DEER LOOP STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903406",
            "telephone_number": "951-528-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43020 BLACK DEER LOOP STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903406",
            "telephone_number": "951-528-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXX FACIAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-528-0601",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temecula Skin Deep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.