Provider Demographics
NPI:1245044627
Name:SKIN SAVVY MED SPA, PC
Entity type:Organization
Organization Name:SKIN SAVVY MED SPA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:UHRIG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:949-629-0055
Mailing Address - Street 1:2549B EASTBLUFF DR # 227
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3504
Mailing Address - Country:US
Mailing Address - Phone:949-629-0055
Mailing Address - Fax:949-656-7007
Practice Address - Street 1:12414 ROSS CREEK DR
Practice Address - Street 2:
Practice Address - City:KAMAS
Practice Address - State:UT
Practice Address - Zip Code:84036-9323
Practice Address - Country:US
Practice Address - Phone:949-629-0055
Practice Address - Fax:949-656-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service