| Sayana Medical Spa & Wellness Center Inc | |
|
11724 Ventura Blvd Ste A Studio City CA 91604-2621 | |
| (818) 331-4386 | |
| Not Available |
| Full Name | Sayana Medical Spa & Wellness Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11724 Ventura Blvd Ste A, Studio City, California |
| Authorized Official Name and Position | Shilpa Sayana (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3109037599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sayana Medical Spa & Wellness Center Inc 11724 Ventura Blvd Ste A Studio City CA 91604-2621 Ph: (818) 331-4386 | Sayana Medical Spa & Wellness Center Inc 11724 Ventura Blvd Ste A Studio City CA 91604-2621 Ph: (818) 331-4386 |
| NPI Number | 1447690524 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 6507096773 |
|---|---|
| Medicare Enrollment ID | O20140310000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447690524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A2868 (California) | Primary |
| Provider Name | Shilpa Sayana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295857647 PECOS PAC ID: 8022132893 Enrollment ID: I20100831000485 |
| Provider Name | Sara Sawairi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508143645 PECOS PAC ID: 2668836651 Enrollment ID: I20230908002633 |
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