Healthcare Provider Details

I. General information

NPI: 1932076015
Provider Name (Legal Business Name): M2 ESTHETICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 OFFICENTER PLACE SUTIE 120
GAHANNA OH
43230
US

IV. Provider business mailing address

540 OFFICENTER PLACE SUTIE 120
GAHANNA OH
43230
US

V. Phone/Fax

Practice location:
  • Phone: 614-532-6423
  • Fax: 614-750-1232
Mailing address:
  • Phone: 614-532-6423
  • Fax: 614-750-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MATIA MULUMBA
Title or Position: PRESIDENT
Credential: MD
Phone: 614-532-6423