Provider Demographics
NPI:1407130057
Name:SOFT TOUCH SKIN CARE, LLC
Entity Type:Organization
Organization Name:SOFT TOUCH SKIN CARE, LLC
Other - Org Name:SOFT TISSUE SOLUTIONS THERAPEUTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED ESTHETICIAN
Authorized Official - Phone:805-497-7111
Mailing Address - Street 1:4035 E THOUSAND OAKS BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3633
Mailing Address - Country:US
Mailing Address - Phone:805-497-7111
Mailing Address - Fax:
Practice Address - Street 1:4035 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3633
Practice Address - Country:US
Practice Address - Phone:805-497-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty