Medical Ambassador Healthcare, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN1004831 Issued in DC

Legal business name

MEDICAL AMBASSADOR HEALTHCARE, LLC

Doing business as

Preserved Beauty & Wellness Center

Practice address

1220 L St NW
Suite 100-275
Washington, DC 20005-4018

Phone

(202) 705-2455

Fax

(202) 315-2511

NPI assigned

May 1, 2015

Organization subpart

No

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

Authorized official

Name

Camille Awanda, N.P.

Title

Owner

Phone

(301) 343-7514

Specialties & licenses 1

Addresses

Other names 1

• PRESERVED BEAUTY & WELLNESS CENTER Doing business as

Locations

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1457738122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 L ST NW",
            "address_2": "SUITE 100-275",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054018",
            "telephone_number": "202-705-2455",
            "fax_number": "202-315-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 L ST NW",
            "address_2": "SUITE 100-275",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054018",
            "telephone_number": "202-705-2455",
            "fax_number": "202-315-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AMBASSADOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "AWANDA",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-343-7514",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DC",
            "license": "RN1004831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESERVED BEAUTY & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Primary Care Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.