Healthcare Provider Details

I. General information

NPI: 1588432850
Provider Name (Legal Business Name): CALIFORNIA SKIN CARE & DAY SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 JARVIS AVE STE R
NEWARK CA
94560-1200
US

IV. Provider business mailing address

6180 JARVIS AVE STE R
NEWARK CA
94560-1200
US

V. Phone/Fax

Practice location:
  • Phone: 510-795-1804
  • Fax: 510-795-0921
Mailing address:
  • Phone: 510-795-1804
  • Fax: 510-795-0921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD JOSEPH ALETEANU
Title or Position: DIRECTOR
Credential: BUSINESS PSYCHOLOGY
Phone: 510-795-1804