Healthcare Provider Details

I. General information

NPI: 1114832367
Provider Name (Legal Business Name): EM BEAUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 W COAST HWY STE S
NEWPORT BEACH CA
92663-4700
US

IV. Provider business mailing address

9437 WARBLER AVE
FOUNTAIN VALLEY CA
92708-7204
US

V. Phone/Fax

Practice location:
  • Phone: 949-767-2588
  • Fax:
Mailing address:
  • Phone: 949-767-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: HA NGUYEN
Title or Position: MANAGING MEMBER
Credential: LE
Phone: 949-767-2588