Fountain of Youth Cosmetic Center
Fountain of Youth Cosmetic Center is a Specialist in Cerritos, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
17100 Norwalk Blvd Ste 111Cerritos, CA 90703-2750
Phone: (562) 653-0180
Fax: (562) 402-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence A30411 (CA) |
|---|
Record details
| NPI number | 1821321209 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anil Gandhi — Owner · (562) 653-0180 |
| NPI enumerated | September 16, 2009 |
| Last updated in NPPES | September 16, 2009 |
| Mailing address | 17100 Norwalk Blvd Ste 111, Cerritos, CA 90703-2750 |
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