Provider Demographics
NPI:1306714670
Name:SI BELLE MEDSPA LLC
Entity type:Organization
Organization Name:SI BELLE MEDSPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARINE-ANGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-883-7333
Mailing Address - Street 1:642 COWPATH RD STE 181
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1586
Mailing Address - Country:US
Mailing Address - Phone:215-883-7333
Mailing Address - Fax:866-855-6064
Practice Address - Street 1:303 HORSHAM RD STE A
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2029
Practice Address - Country:US
Practice Address - Phone:215-883-7333
Practice Address - Fax:866-855-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty