Eyesthestica

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AAAHC Issued in CA

Legal business name

EYESTHESTICA

Practice address

800 Fairmount Ave
Suite 207
Pasadena, CA 91105-3150

Phone

(310) 360-3922

Fax

(310) 360-9246

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Kwan

Title

Billing Manager

Phone

(310) 360-3922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811070964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50187",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150187",
            "telephone_number": "310-360-3922",
            "fax_number": "310-360-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "SUITE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "310-360-3922",
            "fax_number": "310-360-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESTHESTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-360-3922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "AAAHC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Michell Eyo Morales, MSW
• Darrell Arnez Ezell
• Alyiah Viola Faber
• Hailey Puildo Fabian, BA

• Ambulatory Surgical Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Ambulatory Surgical Clinic/Center 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.