# BEAUTIFIED IV SPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Faridah Mumin Nurse practitioner
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851185730
- **Authorized official:** FARIDAH MUMIN NP (CEO)
- **Authorized official phone:** (213) 925-8114

## Contact information

- **Practice address:** 349 S LAFAYETTE PARK PLACE, LOS ANGELES CA, CA 90057
- **Practice address phone:** (213) 840-7247
- **Mailing address:** 349 S LAFAYETTE PARK PLACE, 125, LOS ANGELES CA, CA 90057
- **Mailing address phone:** (213) 840-7247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2025
- **Last updated:** 04/07/2025