OrganizationActive
Fountain of Youth Cosmetic Center
NPI 1821321209 · Specialist · Cerritos, CA
Fountain of Youth Cosmetic Center is a Specialist organization in Cerritos, CA (NPI 1821321209).
Provider details
- NPI number
- 1821321209
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Anil Gandhi, Owner(562) 653-0180
- License
- A30411 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
17100 Norwalk Blvd Ste 111
Cerritos, CA 90703-2750
Phone: (562) 653-0180
Fax: (562) 402-3029
Street-level locationGet directions
Mailing address
17100 Norwalk Blvd Ste 111
Cerritos, CA 90703-2750
Registry dates
- Enumerated
- 2009-09-16
- Last updated
- 2009-09-16
Frequently asked questions
- What is Fountain of Youth Cosmetic Center's NPI number?
- Fountain of Youth Cosmetic Center's National Provider Identifier (NPI) is 1821321209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain of Youth Cosmetic Center?
- Fountain of Youth Cosmetic Center is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Fountain of Youth Cosmetic Center located?
- Fountain of Youth Cosmetic Center's practice location on file with NPPES is 17100 Norwalk Blvd Ste 111, Cerritos, CA 90703-2750.
- What is Fountain of Youth Cosmetic Center's phone number?
- The practice phone number listed in the NPPES registry for Fountain of Youth Cosmetic Center is (562) 653-0180.
- Who is the authorized official for Fountain of Youth Cosmetic Center?
- The authorized official listed on Fountain of Youth Cosmetic Center's NPPES record is Anil Gandhi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain of Youth Cosmetic Center's NPI active?
- Yes — Fountain of Youth Cosmetic Center's NPI (1821321209) is active in the NPPES registry as of the last update on 2009-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.