Healthcare Provider Details

I. General information

NPI: 1700562790
Provider Name (Legal Business Name): MURRIETA HEALTH AND AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25395 HANCOCK AVE STE 205
MURRIETA CA
92562-9019
US

IV. Provider business mailing address

25395 HANCOCK AVE STE 210
MURRIETA CA
92562-9054
US

V. Phone/Fax

Practice location:
  • Phone: 951-602-1699
  • Fax: 951-600-7783
Mailing address:
  • Phone: 951-602-1699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HANNAH LOUISE SHEHATA
Title or Position: OWNER
Credential: MD, MBA
Phone: 714-267-3709