Flawless Skin IV Hydration Med Spa

NPI #1245000249 in Stevenson Ranch, California

Provider Information

NPI Number: 1245000249
Entity Type: Organization
Organization Name: Flawless Skin IV Hydration Med Spa
Primary Specialty: Clinic/Center - Infusion Therapy
Enumeration Date: Jan 2, 2024
Last Updated: Jan 2, 2024

Practice Location

Address: 25101 THE OLD RD
City: Stevenson Ranch
State: California
ZIP Code: 91381-2206
Phone: (323) 538-1110

Authorized Official

Name: DR. EDITH ELLIS, DNP,MSN,CNL,RN
Title: FOUNDER/CEO
Phone: (323) 538-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X
Health & Wellness Coach	171400000X
Home Health	251E00000X
Home Infusion	251F00000X
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X
Clinic/Center	261Q00000X
Clinic/Center - Infusion Therapy — Infusion Therapy	261QI0500X	Primary

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