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General NPI Number Information
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NPI Number | 1427275429
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Entity Type | Organization
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Legal Business Name | AESTHETICARE MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 30260 RANCHO VIEJO RD
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1561
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Country | US
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Telephone | 949-661-1700
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Fax | 919-661-4913
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Provider Business Mailing Address
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Address Line | 30260 RANCHO VIEJO RD
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1561
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Country | US
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Telephone | 949-661-1700
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Fax | 919-661-4913
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD MOSER
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Credential | M.D.
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Telephone | 949-661-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 060000321
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License Number State | CA
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