Healthcare Provider Details

I. General information

NPI: 1568101574
Provider Name (Legal Business Name): ONESTOP AESTHETIC TRAVEL AND WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5924 STONERIDGE DR STE 110
PLEASANTON CA
94588-5400
US

IV. Provider business mailing address

5924 STONERIDGE DR STE 110
PLEASANTON CA
94588-5400
US

V. Phone/Fax

Practice location:
  • Phone: 925-487-2005
  • Fax:
Mailing address:
  • Phone: 925-263-9547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANUJA GARG
Title or Position: OWNER
Credential: MD
Phone: 925-263-9547