Organization
ETERNAL BEAUTY MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOROUZAN VAGHAR (PRESIDENT)
(408) 354-3587
Entity
Organization
Contact information
Practice address
248 LOS GATOS SARATOGA RD, LOS GATOS, CA 95030-5317
(408) 354-3587
(408) 354-3651
Mailing address
248 LOS GATOS SARATOGA RD, LOS GATOS, CA 95030-5317
(408) 354-3587
(408) 354-3651
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A063086
CA
Other
Enumeration date
11/17/2006
Last updated
07/13/2015
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