Organization Active NPI

Jonna Trichology & Hair Loss Clinic LLC

  • Prosthetic/Orthotic Supplier
  • San Diego, CA
National Provider Identifier
1093303265
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JONNA TRICHOLOGY & HAIR LOSS CLINIC LLC
Practice address
3435 Camino del Rio S Ste 310
San Diego, CA 92108-3912
Phone
(619) 646-0358
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Jonna Quinn
Title
Owner
Phone
(619) 646-0358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3435 Camino del Rio S Ste 310
San Diego, CA 92108-3912

Mailing address

3435 Camino del Rio S Ste 310
San Diego, CA 92108-3912

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8582896232

National Provider Directory

National Provider Directory

Locations

3435 Camino del Rio S
Ste 310
San Diego, CA 92108
Phone (619) 646-0358

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1093303265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083912",
            "telephone_number": "619-646-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONNA TRICHOLOGY & HAIR LOSS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "JONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-646-0358"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8582896232",
            "affiliation": "N",
            "address_1": "3435 Camino Del Rio S Ste 310",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921083912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.