# COSMETIC AND AESTHETIC CLINIC LLC

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

## Provider details

- **NPI number:** 1184296766
- **Authorized official:** DR. KHALDOUN JABI (MANAGING MEMBER)
- **Authorized official phone:** (216) 456-7741

## Contact information

- **Practice address:** 3920 S ALMA SCHOOL RD STE 8, CHANDLER, AZ 85248-4511
- **Practice address phone:** (216) 456-7741
- **Mailing address:** 1392 E BARTLETT WAY, CHANDLER, AZ 85249-3132
- **Mailing address phone:** (216) 456-7741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2021
- **Last updated:** 07/13/2021