Provider Demographics
NPI:1588432850
Name:CALIFORNIA SKIN CARE & DAY SPA LLC
Entity type:Organization
Organization Name:CALIFORNIA SKIN CARE & DAY SPA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ALETEANU
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS PSYCHOLOGY
Authorized Official - Phone:510-795-1804
Mailing Address - Street 1:6180 JARVIS AVE STE R
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-1200
Mailing Address - Country:US
Mailing Address - Phone:510-795-1804
Mailing Address - Fax:510-795-0921
Practice Address - Street 1:6180 JARVIS AVE STE R
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-1200
Practice Address - Country:US
Practice Address - Phone:510-795-1804
Practice Address - Fax:510-795-0921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty