Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetica Clinique LLC

Organization Plastic Surgery Physician · NPI 1508824293

Aesthetica Clinique LLC is a Plastic Surgery Physician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 Pacific Ave
Tacoma, WA 98402-5209
Phone: (229) 589-2588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD 60288108 (WA)

Record details

NPI number1508824293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Potyondy — Managing Member · (229) 589-2588
NPI enumeratedMay 2, 2006
Last updated in NPPESSeptember 11, 2012
Mailing address801 Pacific Ave, Tacoma, WA 98402-5209

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