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

Genesis Medspa, Inc

Organization Internal Medicine Physician · NPI 1992048250

Genesis Medspa, Inc is an Internal Medicine Physician in Canoga Park, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22323 Sherman Way Ste # 19-20
Canoga Park, CA 91303-1002
Phone: (818) 884-8110
Fax: (805) 832-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A-26431 (CA)

Record details

NPI number1992048250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margarita Fernandez — Secretary · (858) 254-3762
NPI enumeratedApril 4, 2013
Last updated in NPPESApril 4, 2013
Mailing address1216 Bayside Cir, Oxnard, CA 93035-2147

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