Organization Active NPI

Laguna Med Spa, Professional Corporation

Doing business as Laguna Med Spa

  • Clinic/Center
  • Laguna Beach, CA
National Provider Identifier
1871333633
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAGUNA MED SPA, PROFESSIONAL CORPORATION
Doing business as
Laguna Med Spa
Oceanview Med Spa
Practice address
303 Broadway St Ste 103
Laguna Beach, CA 92651-1816
Phone
(949) 665-6000
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Sheila Katebian
Title
Secretary
Phone
(714) 948-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

303 Broadway St Ste 103
Laguna Beach, CA 92651-1816

Mailing address

303 Broadway St Ste 103
Laguna Beach, CA 92651-1816

Other names 2

  • Laguna Med Spa Doing business as
  • Oceanview Med Spa Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1871333633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST STE 103",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST STE 103",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511816",
            "telephone_number": "949-665-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA MED SPA, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "KATEBIAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-948-0905"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Med Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceanview Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.