Organization
ADVANCED SKINCARE PHYSICIAN ASSISTANT CORPORATION (PAC)
Active
Other names
Advanced SkinCare, PAC
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE FREESEMANN PA (CEO)
(714) 879-9936
Entity
Organization
Contact information
Practice address
2720 N HARBOR BLVD STE 230, FULLERTON, CA 92835-2626
(714) 879-9936
Mailing address
2720 N HARBOR BLVD STE 230, FULLERTON, CA 92835-2626
(714) 879-9936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
02/08/2021
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