Type 2 organization · NPI 1013838911
PRESTIGIOUS MEDICAL AESTHETICS
261QU0200X · TEMECULA, CA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 261QU0200X | 261QU0200X | Primary |
| 261QP2300X | 261QP2300X | Additional |
| 261QX0100X | 261QX0100X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 1 recorded field change