Healthcare Provider Details
I. General information
NPI: 1689423592
Provider Name (Legal Business Name): TRUE BELLA MEDICAL AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2024
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9480 FIRESTONE BLVD
DOWNEY CA
90241-5504
US
IV. Provider business mailing address
9480 FIRESTONE BLVD
DOWNEY CA
90241-5504
US
V. Phone/Fax
- Phone: 562-499-9682
- Fax:
- Phone: 562-499-9682
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIAN
KARIMI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 562-413-4434