Skin Envy Med Spa and Weight Loss

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6930 Issued in CA

Legal business name

SKIN ENVY MED SPA AND WEIGHT LOSS

Practice address

8112 Milliken Ave Ste 103-1
Rancho Cucamonga, CA 91730-7471

Phone

(909) 948-8050

Fax

(909) 948-8061

NPI assigned

May 21, 2009

Organization subpart

Yes

Parent organization

DV URGENT CARE MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Dr. Dan Vasile, D.O.

Title

President

Phone

(909) 948-8050

Specialties & licenses 1

Addresses

Tax ID family

Skin Envy Med Spa and Weight Loss2 organizations share this tax ID, including this one

Part of

Skin Envy Med Spa and Weight Loss

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DV Urgent Care

  • Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1427380112
  NPD tax ID

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1861627655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE STE 103-1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "909-948-8050",
            "fax_number": "909-948-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE STE 103-1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "909-948-8050",
            "fax_number": "909-948-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN ENVY MED SPA AND WEIGHT LOSS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DV URGENT CARE MEDICAL GROUP, INC.",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "VASILE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-948-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Schante B Skinner
• Michael Slater
• Rebeckah Kitten Slatko, LCAT, ATR-BC
• Kristin Anne Slaughter, PT
• Sleep & Cpap Care LLC

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.