# EYESTHESTICA

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

## Provider details

- **NPI number:** 1811070964
- **Authorized official:** MS. VALERIE KWAN (BILLING MANAGER)
- **Authorized official phone:** (310) 360-3922

## Contact information

- **Practice address:** 800 FAIRMOUNT AVE, SUITE 207, PASADENA, CA 91105-3150
- **Practice address phone:** (310) 360-3922
- **Practice address fax:** (310) 360-9246
- **Mailing address:** PO BOX 50187, PASADENA, CA 91115-0187
- **Mailing address phone:** (310) 360-3922
- **Mailing address fax:** (310) 360-9246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AAAHC | CA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020