Med Therapeutic Skin Care Day Spa
NPI 1568808731ActiveOrganization· Exclusive Provider Organization· Norcross, GA
Exclusive Provider Organization in Norcross, Georgia, registered in NPPES in May 2013. The authorized official on file is Lidia Mosquera, LPG, Owner.
Overview
| NPI | 1568808731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2013 |
| Last updated in NPPES | May 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 2013005065 | GA |
| Clinic/Center, Adult Mental Health | 261QM0850X | 2013005065 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Exclusive Provider Organization providers in Norcross
- 1538597810