Provider Demographics
NPI:1720867831
Name:RESPLENDENT AESTHETICS MED SPA AND IV CENTER
Entity Type:Organization
Organization Name:RESPLENDENT AESTHETICS MED SPA AND IV CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EILER
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-927-7530
Mailing Address - Street 1:4550 S RESERVOIR RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2878
Mailing Address - Country:US
Mailing Address - Phone:720-927-7530
Mailing Address - Fax:
Practice Address - Street 1:4550 S RESERVOIR RD UNIT D
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2878
Practice Address - Country:US
Practice Address - Phone:720-927-7530
Practice Address - Fax:720-927-7530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care