Organization Active NPI

You Are Beautiful Aesthetic Institute, PLLC

  • Facial Plastic Surgery Physician
  • Fairfax, VA
National Provider Identifier
1932948023
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
YOU ARE BEAUTIFUL AESTHETIC INSTITUTE, PLLC
Practice address
10721 Main St Ste 205
Fairfax, VA 22030-6902
Phone
(703) 705-2100
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Jae KimNPI 1609168327
Title
Owner
Phone
(703) 705-2100

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
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

10721 Main St Ste 205
Fairfax, VA 22030-6902

Mailing address

2200 Wilson Blvd # 102-219
Arlington, VA 22201-3397
Phone (703) 705-2100

National Provider Directory

National Provider Directory

Locations

2200 Wilson Blvd
#102219
Arlington, VA 22201

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": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1932948023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD # 102-219",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013397",
            "telephone_number": "703-705-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 205",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306902",
            "telephone_number": "703-705-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOU ARE BEAUTIFUL AESTHETIC INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-705-2100"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.