Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Skin Theory Aesthetics Inc

Organization Family Medicine Physician · NPI 1104446715

Skin Theory Aesthetics Inc provides Family Medicine Physician services in Corona, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2791 Green River Rd Ste 103
Corona, CA 92882-7452
Phone: (951) 735-5570
Fax: (951) 735-5572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104446715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shauna Michels — Owner/Employee · (951) 735-5570
NPI enumeratedApril 23, 2020
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020
Mailing address2791 Green River Rd Ste 103, Corona, CA 92882-7452

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