Chanel's Hair Boutique

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

CHANEL'S HAIR BOUTIQUE

Practice address

8818 La Mesa Blvd
La Mesa, CA 91942-5407

Phone

(619) 200-3186

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Alexis RhodenNPI 1619489192

Title

Owner

Phone

(619) 200-3186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis Chanel Rhoden, CERTIFIED HAIR LOSS

  • Prosthetics Case Management
  • La Mesa, CA
  • NPI 1619489192
  NPD (past) Authorized official

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1346754488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8818 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425407",
            "telephone_number": "619-200-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425407",
            "telephone_number": "619-200-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANEL'S HAIR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "RHODEN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-200-3186"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina Natalie Cervantes, MFT
• Roman B Cham, MD
• Stephen L Chan, D.D.S.
• Rosalinda Chandarlis
• Carson Chandler, PT, DPT
• Daniel Chang, D.O.
• Weiling Chang, M.D.
• Yi Chang, RPH
• Charles a. Long, a Professional Marriage and Family Therapy Corporatio
• Charles Lewis MD Professional Corporation

• Prosthetics Case Management in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.