CB the Brand

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CB THE BRAND

Practice address

13907 Van Ness Ave
Gardena, CA 90249

Phone

(310) 817-4243

Fax

(323) 800-8358

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Lachelle Johnson

Title

Owner

Phone

(310) 817-4243

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1073285409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13907 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492913",
            "telephone_number": "310-817-7424",
            "fax_number": "323-800-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-817-4243",
            "fax_number": "323-800-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB THE BRAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-817-4243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3238008358",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "13907 Van Ness Ave",
            "city": "Gardena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902492913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jatziri Castro
• Juan Castro
• Emily Meliza Catalan
• Alexis Carmen Catano
• Tatiana Danielle Cava
• Amanda Lilibeth Ceballos
• Guadalupe Ceballos, MASTERS IN MFT
• Janet Ceballos
• Lissette Cedeno
• Mirna Cedillo

• Prosthetic/Orthotic Supplier in Gardena, CA
• Providers in Gardena, 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 Oct 4, 2021; 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.