Provider Demographics
NPI:1700041381
Name:AESTHETIC SURGERY INSTITUTE,P.C.
Entity Type:Organization
Organization Name:AESTHETIC SURGERY INSTITUTE,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SETO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-375-1555
Mailing Address - Street 1:3201 W. PEORIA AVE.
Mailing Address - Street 2:A-204
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029
Mailing Address - Country:US
Mailing Address - Phone:602-375-1555
Mailing Address - Fax:602-564-2968
Practice Address - Street 1:3201 W PEORIA AVE
Practice Address - Street 2:A-204
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4608
Practice Address - Country:US
Practice Address - Phone:602-375-1555
Practice Address - Fax:602-564-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3978208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty