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

Skin Theory Aesthetics Inc

Organization Family Medicine Physician · NPI 1104446715

Skin Theory Aesthetics Inc is a Family Medicine Physician in Corona, California. Registered with an NPI since 2020.

In the registry since
2020
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

2791 Green River Rd Ste 103
Corona, CA 92882-7452
Phone: (951) 735-5570
Fax: (951) 735-5572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104446715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shauna Michels — Owner/Employee · (951) 735-5570
NPI enumeratedApril 23, 2020
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020
Mailing address2791 Green River Rd Ste 103, Corona, CA 92882-7452

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