OrganizationActive
Aesthetica Clinique LLC
NPI 1508824293 · Plastic Surgery Physician · Tacoma, WA
Provider details
- NPI number
- 1508824293
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Louis Potyondy, Managing Member(229) 589-2588
- License
- MD 60288108 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 Pacific Ave
Tacoma, WA 98402-5209
Phone: (229) 589-2588
Street-level locationGet directions
Mailing address
801 Pacific Ave
Tacoma, WA 98402-5209
Registry dates
- Enumerated
- 2006-05-02
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.