ETERNAL BEAUTY MEDICAL CLINIC, INC (NPI# 1033282892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033282892 |
| Entity Type | Organization |
| Organization Name | ETERNAL BEAUTY MEDICAL CLINIC, INC |
| Practice Address |
248 Los Gatos Saratoga Rd Los Gatos CA 95030-5317 |
| Practice Telephone | 4083543587 |
| Practice Fax Number | 4083543651 |
| Mailing Telephone | 4083543587 |
| Mailing Fax Number | 4083543651 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-07-13 |
| Authorized Official Name | FOROUZAN VAGHAR (PRESIDENT) |
| Authorized Official Telephone | 4083543587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A063086 | CA | Ambulatory Health Care Facilities |
| Street Address |
248 LOS GATOS SARATOGA RD |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578671905 | Forouzan Vaghar | Internal Medicine | 248 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5317 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1245685130 | Arun Villivalam, Md Inc | Clinic/Center | 15195 National Ave, Suite 205, Los Gatos, CA 95032-2631 | 2016-04-28 |
| 1154741783 | To Be Primary Care | Clinic/Center | 15215 National Ave, Ste 104, Los Gatos, CA 95032-2425 | 2014-04-22 |
| 1003252925 | Loriana Cirlig Md Inc | Clinic/Center | 360 Dardanelli Ln, Ste 1a, Los Gatos, CA 95032-1421 | 2013-05-18 |
| 1932338043 | Rai Research Associates, Inc | Clinic/Center | 15000 Los Gatos Blvd, Suite 7, Los Gatos, CA 95032-2017 | 2009-07-09 |
| 1962664532 | Rekha S.dharmaji M.d Inc | Clinic/Center | 15215 National Ave, Ste 101, Los Gatos, CA 95032-2425 | 2008-06-25 |
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| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.