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LA QUINTA MEDSPA, INC.
NPI 1053506287
Specialist in La Quinta, CA

Active since September 11, 2007
47-350 WASHINGTON STREET, SUITE 103, LA QUINTA, CA 92253(760) 396-9353(760) 564-9577 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About La Quinta Medspa, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA QUINTA MEDSPA, INC. (NPI 1053506287) is a healthcare organization registered as a specialist in La Quinta, California and active in the NPI registry since September 2007. The organization lists Matthew Loren Werner, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053506287
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLA QUINTA MEDSPA, INC.
Location Address47-350 WASHINGTON STREET, SUITE 103La Quinta, CA 92253
Mailing Address47350 Washington St, Suite 103La Quinta, CA 92253-8847 · (760) 396-9353 · Fax (760) 564-9577
Phone(760) 396-9353
Fax(760) 564-9577
Organization SubpartNo
Authorized OfficialMatthew Loren WernerMedical Director · (760) 396-9353
Enumeration DateSeptember 11, 2007
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1053506287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G79952
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

47-350 WASHINGTON STREET, La Quinta, CA 92253
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Other Identifiers 1

Medicare UPINF99924CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Quinta Medspa, Inc.'s NPI number?

The NPI number for La Quinta Medspa, Inc. is 1053506287. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is La Quinta Medspa, Inc. located?

La Quinta Medspa, Inc. is located at 47-350 Washington Street Suite 103, La Quinta, CA 92253. The listed phone number is (760) 396-9353.

What is La Quinta Medspa, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for La Quinta Medspa, Inc. was last updated on February 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.