Organization
ETERNAL YOUTH MEDICAL SPA
Active
Parent organization
ETERNAL YOUTH MED SPA
Other names
Mark A.F. Knight, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETERNAL YOUTH MED SPA
Authorized official
MRS. MARIA JETT KNIGHT (OFFICE DIRECTOR)
(714) 558-9800
Entity
Organization
Contact information
Practice address
902 N. GRAND AVENUE, SUITE 204, SANTA ANA, CA 92701
(714) 558-9800
(714) 558-9803
Mailing address
902 N. GRAND AVENUE, SUITE 204, SANTA ANA, CA 92701
(714) 558-9800
(714) 558-9803
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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