# LUXOR MEDICAL SPA

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

## Provider details

- **NPI number:** 1730503087
- **Authorized official:** YASSER H SALEM MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 847-1001

## Contact information

- **Practice address:** 8101 NEWMAN AVE, SUITE C, HUNTINGTON BEACH, CA 92647-7042
- **Practice address phone:** (714) 847-1001
- **Mailing address:** 8101 NEWMAN AVE, SUITE C, HUNTINGTON BEACH, CA 92647-7042
- **Mailing address phone:** (714) 847-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 02/06/2014