Provider Demographics
NPI:1043902414
Name:VEIN & AESTHETICS OF NORTH SCOTTSDALE LLC
Entity Type:Organization
Organization Name:VEIN & AESTHETICS OF NORTH SCOTTSDALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-214-8339
Mailing Address - Street 1:33725 N SCOTTSDALE RD STE 125
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-1560
Mailing Address - Country:US
Mailing Address - Phone:480-870-8346
Mailing Address - Fax:
Practice Address - Street 1:33725 N SCOTTSDALE RD STE 125
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1560
Practice Address - Country:US
Practice Address - Phone:480-870-8346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty