Provider Demographics
NPI:1932864873
Name:JUST BEAUTIFUL AESTHETICS
Entity Type:Organization
Organization Name:JUST BEAUTIFUL AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:805-387-6687
Mailing Address - Street 1:2803 SANDHURST AVE
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-5387
Mailing Address - Country:US
Mailing Address - Phone:805-338-8162
Mailing Address - Fax:
Practice Address - Street 1:77 ROLLING OAKS DR STE 202
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1018
Practice Address - Country:US
Practice Address - Phone:805-387-6687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE LASER ACADEMY, A PROFESSIONAL NURSING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty