Provider Demographics
NPI:1306688924
Name:QAZI COSMETIC CLINIC
Entity type:Organization
Organization Name:QAZI COSMETIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADIR
Authorized Official - Middle Name:
Authorized Official - Last Name:QAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-286-9189
Mailing Address - Street 1:20271 SW BIRCH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1714
Mailing Address - Country:US
Mailing Address - Phone:949-336-7293
Mailing Address - Fax:949-288-0349
Practice Address - Street 1:20271 SW BIRCH ST STE 100
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1714
Practice Address - Country:US
Practice Address - Phone:949-336-7293
Practice Address - Fax:949-288-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty