Organization Active NPI

Gentle Aesthetics, Inc.

  • Family Medicine Physician
  • Laguna Beach, CA
National Provider Identifier
1427322379
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA15589 Issued in CA
Legal business name
GENTLE AESTHETICS, INC.
Practice address
1409 Glenneyre St
Suite C
Laguna Beach, CA 92651-3171
Phone
(949) 338-5971
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Ms. Shein-Lin Garrett, PA
Title
Ceo PA
Phone
(949) 338-5971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X PA15589 CA Primary

Addresses

Primary practice location

1409 Glenneyre St
Suite C
Laguna Beach, CA 92651-3171

Mailing address

1409 Glenneyre St
Suite C
Laguna Beach, CA 92651-3171
Phone (949) 338-5971

National Provider Directory

National Provider Directory

Locations

1409 Glenneyre St
Ste C
Laguna Beach, CA 92651
Phone (949) 338-5971

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1427322379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 GLENNEYRE ST",
            "address_2": "SUITE C",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513171",
            "telephone_number": "949-338-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 GLENNEYRE ST",
            "address_2": "SUITE C",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513171",
            "telephone_number": "949-338-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE AESTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "SHEIN-LIN",
        "authorized_official_title_or_position": "CEO PA",
        "authorized_official_telephone_number": "949-338-5971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA15589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.