Organization
SUMMIT HEALTH SPA
Active
Other names
Summit Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LYNN KIMBERLY SIY CHAN (PRESIDENT)
(818) 817-1761
Entity
Organization
Contact information
Practice address
19000 HAWTHORNE BLVD STE 204, TORRANCE, CA 90503-1517
(818) 817-1761
Mailing address
19000 HAWTHORNE BLVD STE 204, TORRANCE, CA 90503-1517
(818) 817-1761
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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