Advanced Skincare Physician Assistant Corporation (pac)
NPI #1245830389 in Fullerton, California
Provider Information
- NPI Number
- 1245830389
- Entity Type
- Organization
- Organization Name
- Advanced Skincare Physician Assistant Corporation (pac)
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 28, 2020
- Last Updated
- Feb 8, 2021
Practice Location
- Address
- 2720 N HARBOR BLVD STE 230
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-2626
- Phone
- (714) 879-9936
Authorized Official
- Name
- SUZANNE FREESEMANN, PA
- Title
- CEO
- Phone
- (714) 879-9936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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