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General NPI Number Information
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NPI Number | 1043264534
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Entity Type | Organization
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Legal Business Name | CALIFORNIA AESTHETIC CENTER A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 17742 BEACH BLVD SUITE 335
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6818
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Country | US
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Telephone | 714-848-1133
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Fax | 714-848-4114
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Provider Business Mailing Address
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Address Line | 17742 BEACH BLVD SUITE 335
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6818
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Country | US
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Telephone | 714-848-1133
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Fax | 714-848-4114
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVE THUAN VU
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Credential | M.D
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Telephone | 714-848-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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