Organization
DEJA VU MEDSPA
Active
Other names
Deja Vu Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P BEAUCLAIR MD (OWNER6266960049)
(626) 696-0049
Entity
Organization
Contact information
Practice address
38 E HUNTINGTON DR, ARCADIA, CA 91006-3253
(626) 696-0049
Mailing address
38 E HUNTINGTON DR, ARCADIA, CA 91006-3253
(626) 696-0049
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G17614
CA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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