Provider Demographics
NPI:1225126923
Name:SHEL AESTHETICS, INC.
Entity Type:Organization
Organization Name:SHEL AESTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRAV
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAVALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-222-0990
Mailing Address - Street 1:20072 SW BIRCH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-0794
Mailing Address - Country:US
Mailing Address - Phone:949-222-0990
Mailing Address - Fax:949-222-0279
Practice Address - Street 1:2001 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 890W
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2102
Practice Address - Country:US
Practice Address - Phone:310-829-5977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2895211208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty