Lori Netzen, CMF
Individual provider Active NPI Specialist · Hollywood, CA
NPI 1245277342 · NPPES record last updated Jan 29, 2008
Key facts
- NPI
- 1245277342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- C22236 (CA)
- Practice address
- 1320 N Highland Ave
Hollywood, CA 90028-7609 - Phone
- (323) 469-4299
- Fax
- (323) 460-2035
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C22236 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hair Design Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C22236 | CA | Yes |
Addresses
Primary practice location
1320 N Highland Ave
Hollywood, CA 90028-7609
Mailing address
16060 Ventura Blvd.
Suite 105-194
Encino, CA 91436-2761
Phone (818) 481-5860
Other providers in Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2008. 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.