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FOUNTAIN OF YOUTH COSMETIC CENTER
NPI 1821321209
Specialist in Cerritos, CA

Active since September 16, 2009
17100 NORWALK BLVD STE 111, CERRITOS, CA 90703(562) 653-0180(562) 402-3029 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fountain Of Youth Cosmetic Center NPPES

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

FOUNTAIN OF YOUTH COSMETIC CENTER (NPI 1821321209) is a healthcare organization registered as a specialist in Cerritos, California and active in the NPI registry since September 2009. The organization lists Anil K Gandhi, Owner, as its authorized official.

NPPES Registry Identity

NPI1821321209
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFOUNTAIN OF YOUTH COSMETIC CENTER
Location Address17100 NORWALK BLVD STE 111Cerritos, CA 90703-2750
Mailing Address17100 Norwalk Blvd Ste 111Cerritos, CA 90703-2750 · (562) 653-0180 · Fax (562) 402-3029
Phone(562) 653-0180
Fax(562) 402-3029
Organization SubpartNo
Authorized OfficialAnil K GandhiOwner · (562) 653-0180
Enumeration DateSeptember 16, 2009
✔ NPI 1821321209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A30411
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.
17100 NORWALK BLVD STE 111, Cerritos, CA 90703
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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 Fountain Of Youth Cosmetic Center's NPI number?

The NPI number for Fountain Of Youth Cosmetic Center is 1821321209. It was assigned to this organization in the NPPES registry on September 16, 2009.

Where is Fountain Of Youth Cosmetic Center located?

Fountain Of Youth Cosmetic Center is located at 17100 Norwalk Blvd Ste 111, Cerritos, CA 90703. The listed phone number is (562) 653-0180.

What is Fountain Of Youth Cosmetic Center'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 Fountain Of Youth Cosmetic Center was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.