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NPI Code Detail

MEDICARE: AESTHETICARE MEDICAL CORPORATION

MEDICARE: AESTHETICARE MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center060000321CA

General Provider Information

NPI Number : 1427275429
Entity Type Code : Organization
Provider Name (Legal Business Name) : AESTHETICARE MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 30260 RANCHO VIEJO RD
Second Line :
City : SAN JUAN CAPISTRANO
State : CA
Zip : 92675-1561
Country : US
Telephone Number : 949-661-1700
Fax Number : 919-661-4913
Provider Business Practice Location Address
First Line : 30260 RANCHO VIEJO RD
Second Line :
City : SAN JUAN CAPISTRANO
State : CA
Zip : 92675-1561
Country : US
Telephone Number : 949-661-1700
Fax Number : 919-661-4913
Authorized Official
Title or Position : PRESIDENT
Name : RONALD MOSER
Credential : M.D.
Telephone Number : 949-661-1700
Provider Enumeration Date : 04/19/2007
Last Update Date : 11/06/2025

Similar Medicare Providers

1972699304 — MR. JEFFREY ALAN KLEIN MD
Practice Location Address:
30280 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA
92675-1561
Practice Phone: 949-248-7641
Practice Fax: 949-248-7321
1285858043 — RONALD E MOSER M.D.
Practice Location Address:
30260 RANCHO VIEJO RD
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1235320805 — ALLAN KANE JR. MD
Practice Location Address:
30260 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA
92675-1561
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Practice Fax:
1255577516 — MS. VIRLA BEATRICE CLARK C.R.N.A.
Practice Location Address:
30260 RANCHO VIEJO RD
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92675-1561
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1821300237 — GABRIEL COVARRUBIAS M.D.
Practice Location Address:
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1659739837 — CAPISTRANO SKIN CANCER CENTER, INC
Practice Location Address:
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Directions to “AESTHETICARE MEDICAL CORPORATION ” Practice Location

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