# BEAUTOLOGIE FRESNO, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093471948
- **Authorized official:** DARSHAN SHAH MD (FOUNDER)
- **Authorized official phone:** (661) 327-3800

## Contact information

- **Practice address:** 9491 N FORT WASHINGTON RD \# 101, FRESNO, CA 93730-0660
- **Practice address phone:** (661) 327-3800
- **Mailing address:** 9491 N FORT WASHINGTON RD \# 101, FRESNO, CA 93730-0660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2021
- **Last updated:** 11/23/2021