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

Prospera Internal Medicine & Aesthetics, Inc

Organization Health Service Clinic/Center · NPI 1992545230

Prospera Internal Medicine & Aesthetics, Inc is a Health Service Clinic/Center in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
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

4452 Park Blvd Ste 306
San Diego, CA 92116-4049
Phone: (619) 206-4232
Fax: (833) 972-5097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1992545230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lea Pace — Owner, Secretary · (619) 518-1061
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing address4452 Park Blvd Ste 306, San Diego, CA 92116-4049

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