Provider Demographics
NPI:1770267163
Name:SLENDER ME MEDICAL WEIGHT LOSS AND AESTHETICS CENTER INC.
Entity type:Organization
Organization Name:SLENDER ME MEDICAL WEIGHT LOSS AND AESTHETICS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGUANCIA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:951-898-8515
Mailing Address - Street 1:2083 COMPTON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-7283
Mailing Address - Country:US
Mailing Address - Phone:951-898-8515
Mailing Address - Fax:951-898-6209
Practice Address - Street 1:2083 COMPTON AVE STE 101
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-7283
Practice Address - Country:US
Practice Address - Phone:951-898-8515
Practice Address - Fax:951-898-6209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center