Provider Demographics
NPI:1477803542
Name:VALENCIA AESTHETICS, INC.
Entity Type:Organization
Organization Name:VALENCIA AESTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-255-2151
Mailing Address - Street 1:25880 TOURNAMENT RD STE 217
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2844
Mailing Address - Country:US
Mailing Address - Phone:661-255-2151
Mailing Address - Fax:661-255-9088
Practice Address - Street 1:25880 TOURNAMENT RD STE 217
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2844
Practice Address - Country:US
Practice Address - Phone:661-255-2151
Practice Address - Fax:661-255-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62305261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical