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

Eternal Youth Medical Spa

Organization Plastic and Reconstructive Surgery Physician · NPI 1649745274

Eternal Youth Medical Spa is a Plastic and Reconstructive Surgery Physician in Santa Ana, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

902 N Grand Ave Ste 204
Santa Ana, CA 92701
Phone: (714) 558-9800
Fax: (714) 558-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1649745274
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEternal Youth Med Spa
Authorized official Maria Knight — Office Director · (714) 558-9800
Other names Mark A.F. Knight, M.D.
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018
Mailing address902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701

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