Facialspa Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100858 Issued in CA

Legal business name

FACIALSPA INC.

Doing business as

Project Health

Practice address

314 Wisconsin Ave Ste C
Oceanside, CA 92054-4157

Phone

(760) 722-3939

Fax

(760) 722-0718

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Adrienne D Kenlan, RN

Title

Medical Director

Phone

(760) 722-3939

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Project Health Doing business as

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699825281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WISCONSIN AVE STE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544157",
            "telephone_number": "760-722-3939",
            "fax_number": "760-722-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WISCONSIN AVE STE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544157",
            "telephone_number": "760-722-3939",
            "fax_number": "760-722-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIALSPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENLAN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-722-3939",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00776F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Exodus Recovery, Inc.
• Expert Surgeons of California Inc
• Judy Ezratty, MA
• F & J Ehlers Enterprises Inc. (Amada Senior Care)
• Mickala M Faapouli, LMFT
• Micel Facundo
• Ian Richard Fagan
• Setareh Faghani, N.P.
• Michael Rami Falcon, PHARMD.
• Savannah Joy Faleofa

• Durable Medical Equipment & Medical Supplies in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.