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General NPI Number Information
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NPI Number | 1023991262
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Entity Type | Organization
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Legal Business Name | ME MEDSPA & WELLNESS CLINIC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 24134 SUNNYMEAD BLVD
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City | MORENO VALLEY
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State | CA
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Zip | 92553-3096
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Country | US
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Telephone | 818-459-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 24134 SUNNYMEAD BLVD STE A
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City | MORENO VALLEY
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State | CA
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Zip | 92553-3096
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Country | US
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Telephone | 818-459-2646
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR-VICE PRESIDENT
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Name | MS. MARILYN OYAN LAPAIX
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Credential | NP
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Telephone | 818-459-2646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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