Provider Demographics
NPI:1174088116
Name:ALLURE ESTHETICS
Entity type:Organization
Organization Name:ALLURE ESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINH
Authorized Official - Middle Name:KIEU
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-847-9920
Mailing Address - Street 1:9450 MING AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1388
Mailing Address - Country:US
Mailing Address - Phone:661-847-9920
Mailing Address - Fax:661-847-9922
Practice Address - Street 1:9450 MING AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1388
Practice Address - Country:US
Practice Address - Phone:661-847-9920
Practice Address - Fax:661-847-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1356892624OtherCMS
CA1427432293OtherCMS
CA1619171766OtherCMS