Organization
MODELE AESTHETICS AND MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK MOQATTASH MD (PRESIDENT)
(909) 353-8821
Entity
Organization
Contact information
Practice address
8906 SAN BERNARDINO RD STE 130, RANCHO CUCAMONGA, CA 91730-8806
(909) 353-8821
Mailing address
8906 SAN BERNARDINO RD STE 130, RANCHO CUCAMONGA, CA 91730-8806
(909) 353-8821
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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