Chic Glam Slay

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CHIC GLAM SLAY

Doing business as

Bougie Clique Medical Prosthesis

Practice address

17820 Firtree CT
Carson, CA 90746-1696

Phone

(323) 875-3099

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

N/AAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monica Rodriquez, RN,COSMETOLOGIST

Title

Ceo

Phone

(323) 875-3099

Specialties & licenses 1

Addresses

Other names 1

• BOUGIE CLIQUE MEDICAL PROSTHESIS Doing business as

Part of

Chic Glam Slay

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1033962725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E CARSON ST STE 114",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457948",
            "telephone_number": "323-870-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 FIRTREE CT",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461696",
            "telephone_number": "323-875-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIC GLAM SLAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N/A",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "RODRIQUEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-875-3099",
        "authorized_official_credential": "RN,COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOUGIE CLIQUE MEDICAL PROSTHESIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Chau, PA-C
• Elba Chavez Ramirez
• Margarita Chavez, RDN
• Chesley R Houske Jr., DDS, Inc
• John K Cheung, L.AC, MSOM
• Chidinma Jenny Chikezie, PHARMD
• Sebastine Emeka Chikezie, NP
• David J Chon, DDS
• Daniel Chow, PHARMD.
• Christine G. Ferrer Chiropractic, Inc (A-Line Chiropractic)

• Prosthetic/Orthotic Supplier in Carson, CA
• Providers in Carson, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.