Healthcare Provider Details

I. General information

NPI: 1245189091
Provider Name (Legal Business Name): AUREA FINEZZA MED LOUNGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 EXECUTIVE SQ STE 600-6060
LA JOLLA CA
92037-9122
US

IV. Provider business mailing address

4225 EXECUTIVE SQ STE 600-6060
LA JOLLA CA
92037-9122
US

V. Phone/Fax

Practice location:
  • Phone: 844-510-8446
  • Fax: 844-510-8446
Mailing address:
  • Phone: 844-510-8446
  • Fax: 844-510-8446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMI JENNINGS
Title or Position: CEO
Credential:
Phone: 844-510-8446