| Deja Vu Med Spa | |
|
38 E Huntington Dr Arcadia CA 91006-3253 | |
| (626) 696-0049 | |
| Not Available |
| Full Name | Deja Vu Med Spa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 38 E Huntington Dr, Arcadia, California |
| Authorized Official Name and Position | John P Beauclair (OWNER6266960049) |
| Authorized Official Contact | 6266960049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deja Vu Med Spa 38 E Huntington Dr Arcadia CA 91006-3253 Ph: (626) 696-0049 | Deja Vu Med Spa 38 E Huntington Dr Arcadia CA 91006-3253 Ph: (626) 696-0049 |
| NPI Number | 1902393168 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 04/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902393168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G17614 (California) | Primary |
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