Jovance Beauty and Health Spa, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JOVANCE BEAUTY AND HEALTH SPA, INC.

Practice address

1406 Pinole Valley Rd
Pinole, CA 94564-1338

Phone

(510) 223-2900

NPI assigned

Nov 24, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maya Parker

Title

Sr. Managing Director

Phone

(510) 224-0744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1871062539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 PINOLE VALLEY RD",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641338",
            "telephone_number": "510-223-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 PINOLE VALLEY RD",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641338",
            "telephone_number": "510-223-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOVANCE BEAUTY AND HEALTH SPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-24",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "SR. MANAGING DIRECTOR",
        "authorized_official_telephone_number": "510-224-0744"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Pinole, CA
• Providers in Pinole, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.