Aesthetic Laser & Vein Center Of The North Bay in Santa Rosa - Specialist
Aesthetic Laser & Vein Center Of The North Bay - NPI 1508992199
Aesthetic Laser & Vein Center Of The North Bay is a Specialist in Santa Rosa, California. Aesthetic Laser & Vein Center Of The North Bay practices all healthcare services and medical treatments related to Specialist. The NPI Number for Aesthetic Laser & Vein Center Of The North Bay is 1508992199. The last update date is 2020-08-22.
Aesthetic Laser & Vein Center Of The North Bay's current location address is 170 Farmers Ln Ste 6b, Santa Rosa, California. You can contact this provider via phone number 7075428346. The mailing address for Aesthetic Laser & Vein Center Of The North Bay is 170 Farmers Ln Ste 6b, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Aesthetic Laser & Vein Center Of The North Bay |
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Address | 170 Farmers Ln Ste 6b, Santa Rosa, California |
Phone Number | 7075428346 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DOCTOR |
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Authorized Official Name | Tom W. Walter |
Credentials | M.D. |
Telephone Number | 7075428346 |
NPI Number Detail
NPI Number | 1508992199 |
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Provider Enumeration Date | 2007-02-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 170 Farmers Ln Ste 6b |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954054768 |
Phone Number | 7075428346 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 657374 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Aesthetic Laser & Vein Center Of The North Bay by the Centers for Medicare & Medicaid Services?
The Aesthetic Laser & Vein Center Of The North Bay has been assigned the NPI (National Provider Identifier) 1508992199 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Aesthetic Laser & Vein Center Of The North Bay?
The Aesthetic Laser & Vein Center Of The North Bay is physically situated at 170 Farmers Ln Ste 6B, in the city of Santa Rosa, state of CA, with the postal code 954054768.
What is Aesthetic Laser & Vein Center Of The North Bay's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Aesthetic Laser & Vein Center Of The North Bay is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508992199 to Aesthetic Laser & Vein Center Of The North Bay?
The Aesthetic Laser & Vein Center Of The North Bay received its 1508992199 assignment from the Centers for Medicare & Medicaid Services on 2007-02-26.
As of what date was the information regarding Aesthetic Laser & Vein Center Of The North Bay, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Aesthetic Laser & Vein Center Of The North Bay, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.