The Botox Spot Physician Assistant Corporation

LBN: The Botox Spot Physician Assistant Corporation
The Botox Spot Physician Assistant Corporation is an health care organization with primary practice located at 914 Orange St Ste E , Redlands CA 92374-3281. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. The Botox Spot Physician Assistant Corporation can be contacted via phone (909) 752-6869, or through Russ, Andrew via phone (909) 752-6869.

Contact Information

Primary practice address
914 Orange St Ste E Redlands CA 92374-3281
Phone: (909) 752-6869
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russ, Andrew Physician's Assistant Certified (PA-C)
Phone: (909) 752-6869

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1710756390
LBN Legal business name The Botox Spot Physician Assistant Corporation
DBA Doing business as
Authorized official Russ, Andrew Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 25th, 2023
Last updated Dec 25th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers