Amava Aesthetics LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AMAVA AESTHETICS LLC

Practice address

6710 N 47TH Ave
Glendale, AZ 85301-4121

Phone

(323) 717-7707

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Aneta Arzumanova

Title

Ceo

Phone

(323) 717-7707

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1699533943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 N 47TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014121",
            "telephone_number": "323-717-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 N 47TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014121",
            "telephone_number": "323-717-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAVA AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "ARZUMANOVA",
        "authorized_official_first_name": "ANETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-717-7707"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.