Celebrity Mobile Dna
Organization Active NPI Multi-Specialty Clinic/Center · Hollywood, CA
NPI 1144036047 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1144036047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CELEBRITY MOBILE DNA
- Practice address
- 1800 Vine St
Hollywood, CA 90028-5250 - Phone
- (888) 775-4362
- NPI assigned
- Dec 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Sherise Ford
- Title
- Founder
- Phone
- (213) 944-4547
National Provider Directory
Locations
1800 Vine St
Los Angeles, CA 90028
Phone (213) 280-9625
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1800 Vine St
Hollywood, CA 90028-5250
Mailing address
6936 Morella Ave Apt 3
North Hollywood, CA 91605-6072
Phone (213) 944-4547
Other providers in Hollywood, CA
- Lacheisa Bell
- Josephine U. Bilas
- Hazel Bluen
- Brilliant Care Medical Supply
- California Em-I Medical Services PC
- Jacqueline Chun
- Circle of Help Foundation
- Circle of Help Foundation
- Comfy Toes, Inc.
- Lara Conovaloff
All providers in Hollywood, CA · Multi-Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.