One Shot Beauty Medspa

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ONE SHOT BEAUTY MEDSPA

Practice address

7938 W 3Rd St
Los Angeles, CA 90048-4305

Phone

(310) 866-8529

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Jaya Shot Beauty Kulangara, NPNPI 1568124410

Title

Ceo

Phone

(310) 866-8529

Specialties & licenses 1

Addresses

Other names 1

• JAYA KULANGARA NURSE PRACTITIONER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaya Kulangara, NP

  • Adult Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1568124410
  NPD Authorized official

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1376205229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD # 170",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "310-866-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7938 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484305",
            "telephone_number": "310-866-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SHOT BEAUTY MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KULANGARA",
        "authorized_official_first_name": "JAYA",
        "authorized_official_middle_name": "SHOT BEAUTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-866-8529",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAYA KULANGARA NURSE PRACTITIONER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.