# MEDICAL AESTHETICS & REJUVENATION PA

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

## Provider details

- **NPI number:** 1659211282
- **Authorized official:** DR. ALBERT DEC DR (DIRECTOR)
- **Authorized official phone:** (866) 316-7809

## Contact information

- **Practice address:** 6565 W SUNSET BLVD STE 211, LOS ANGELES, CA 90028-7206
- **Practice address phone:** (866) 316-7809
- **Practice address fax:** (866) 316-7809
- **Mailing address:** 6565 W SUNSET BLVD STE 211, LOS ANGELES, CA 90028-7206
- **Mailing address phone:** (866) 316-7809
- **Mailing address fax:** (866) 316-7809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101200000X | Drama Therapist | — | NULL | — |
| 101200000X | Drama Therapist | — | — | — |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | — |
| 225XM0800X | Mental Health Occupational Therapist | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2026
- **Last updated:** 04/01/2026