Organization Active NPI

Asesu Laser Med Spa

  • Internal Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1932823671
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASESU LASER MED SPA
Practice address
4940 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1744
Phone
(661) 495-8883
Fax
(214) 271-9831
NPI assigned
Sep 27, 2022
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Mrs. Caridad Aguila-Vivar, RDNPI 1548870140
Title
Ceo
Phone
(661) 495-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

4940 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1744

Mailing address

4940 Van Nuys Blvd Ste 306
Sherman Oaks, CA 91403-1744
Phone (661) 495-8883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1932823671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 306",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031744",
            "telephone_number": "661-495-8883",
            "fax_number": "214-271-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 306",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031744",
            "telephone_number": "661-495-8883",
            "fax_number": "214-271-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASESU LASER MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "AGUILA-VIVAR",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-495-8883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.