OrganizationActive
Advanced Skincare Physician Assistant Corporation (pac)
NPI 1245830389 · Physician Assistant · Fullerton, CA
Provider details
- NPI number
- 1245830389
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Suzanne Freesemann, Ceo(714) 879-9936
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2720 N Harbor Blvd Ste 230
Fullerton, CA 92835-2626
Phone: (714) 879-9936
Approximate (ZIP-level) locationGet directions
Mailing address
2720 N Harbor Blvd Ste 230
Fullerton, CA 92835-2626
Other names (DBA / former)
- Former legal business name
- Advanced Skincare, Pac
- Former legal business name
- Advanced Skincare, Pac
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.