Absolute Health Medical Spa
Organization Active NPI Internal Medicine Physician · Fairfield, CA
NPI 1992038285 · NPPES record last updated Sep 23, 2009
Key facts
- NPI
- 1992038285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A70197 (CA)
- Legal business name
- ABSOLUTE HEALTH MEDICAL SPA
- Practice address
- 4820 Business Center Dr
Suite 110
Fairfield, CA 94534-1696 - Phone
- (707) 864-0189
- Fax
- (707) 864-0190
- NPI assigned
- Sep 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Anjali Chanana, M.D.
- Title
- President
- Phone
- (707) 864-0189
National Provider Directory
Locations
1334 Vidovich Ave
Saint Helena, CA 94574
Phone (707) 864-0189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | A70197 | CA | Yes |
Addresses
Primary practice location
4820 Business Center Dr
Suite 110
Fairfield, CA 94534-1696
Mailing address
4820 Business Center Dr
Suite 110
Fairfield, CA 94534-1696
Phone (707) 864-0189
Other names
- Absolute Health & Anti Aging Center
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All providers in Fairfield, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.