Organization
NV AESTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL LEON VILLANUEVA MD (CEO)
(310) 248-6250
Entity
Organization
Contact information
Practice address
71949 HIGHWAY 111 STE 300, RANCHO MIRAGE, CA 92270-4826
(310) 248-6250
Mailing address
3501 KNOLL CREST AVE, VIEW PARK, CA 90043-1844
(310) 248-6250
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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