Organization Active NPI

Pearlla Medical Aesthetics

  • Prosthetic/Orthotic Supplier
  • Beverly Hills, CA
National Provider Identifier
1134713522
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PEARLLA MEDICAL AESTHETICS
Practice address
9350 Wilshire Blvd Ste 203
Beverly Hills, CA 90212-3204
Phone
(310) 929-9344
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Avia Nicholson
Title
Owner
Phone
(310) 929-9344

Specialties & licenses 1

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

Addresses

Primary practice location

9350 Wilshire Blvd Ste 203
Beverly Hills, CA 90212-3204

Mailing address

825 Tamarack Ave Apt 76
Brea, CA 92821-2532
Phone (310) 929-9344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1134713522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 TAMARACK AVE APT 76",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212532",
            "telephone_number": "310-929-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 WILSHIRE BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123204",
            "telephone_number": "310-929-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLLA MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "AVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-929-9344"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.