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ETERNA VEIN & MEDICAL AESTHETICS, PLLC

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Company Details

Legal Name: ETERNA VEIN & MEDICAL AESTHETICS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 29th 2012
Expiration date: 31 May 2026
UBI Number: 603 211 178
ZIP code: 98371
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1803 S MERIDIAN, PUYALLUP, WA, 98371-7513, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $48,745

Contact Details

E-Mail: MARK@ETERNAAESTHETIC.COM
Phone Number: +1 253-268-3400

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MARK KIM Registered Agent 1803 S MERIDIAN, PUYALLUP, WA, 98371-7513, UNITED STATES

Key Officers & Management

Name Role
MARK KIM Governing Person

National Provider Identifier

NPI Number:
1366785685
Link:
View on NPI website

Authorized Person:

Name:
DR. ROBERT W OSBORNE JR.
Role:
OWNER
Phone:
2532683400

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Phone:
+1 253-268-3400

Form 5500 Series

Employer Identification Number (EIN):
455465242
Plan Year:
2020
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
2532683400
File:
View File
Plan Administrator / Signatory:
MARK KIM, MD(Plan administrator)
Plan Year:
2019
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
2532683400
File:
View File
Plan Administrator / Signatory:
MARK KIM, MD(Plan administrator)
Plan Year:
2018
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
2532683400
File:
View File
Plan Administrator / Signatory:
MARK KIM, MD(Plan administrator)

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$136,100
Date Approved:
2021-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$136,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$137,248.46
Servicing Lender:
First-Citizens Bank & Trust Company
Use of Proceeds:
Payroll: $136,097
Utilities: $1
Jobs Reported:
11
Initial Approval Amount:
$115,200
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$116,241.53
Servicing Lender:
First-Citizens Bank & Trust Company
Use of Proceeds:
Payroll: $115,200

Related by address

1803 S MERIDIAN, PUYALLUP, WA, 98371-7513, UNITED STATES

ETERNA R/E, LLC
WA LIMITED LIABILITY COMPANY - Active
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