Cotton Candy Collections

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

COTTON CANDY COLLECTIONS

Doing business as

Ccc21

Practice address

1530 N Poinsettia Place
Los Angeles, CA 90046

Phone

(323) 202-0552

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Cheyenne Lewis

Title

Manager

Phone

(323) 202-5052

Specialties & licenses 1

Addresses

Other names 1

• CCC21 Doing business as

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1316790348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N ROBERTSON BLVD # 314",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111705",
            "telephone_number": "323-202-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N POINSETTIA PLACE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-202-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTON CANDY COLLECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHEYENNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-202-5052"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCC21",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas Cottam, M.D.
• Jennifer Ann Cotter, M.D.
• Lucy Cotter
• Claudia Elizabeth Cotto-Verdon
• Jacqueline Cottom
• Jasmine Cotton, PHARMD
• John Cotton
• Melanie Joan Cotton, MFT
• Shanoan Cotton
• Dominicque N Cottrell Jones

• Prosthetic/Orthotic Supplier in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 9, 2024; 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.