Organization Active NPI

Miss Stevens for Lingerie

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
National Provider Identifier
1467580423
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MISS STEVENS FOR LINGERIE
Practice address
2235 S Sepulveda Blvd
Los Angeles, CA 90064-1811
Phone
(310) 278-7987
Fax
(310) 278-2593
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Leslie Diane Vaughn, CFM
Title
Owner
Phone
(310) 278-7987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2235 S Sepulveda Blvd
Los Angeles, CA 90064-1811

Mailing address

2235 S Sepulveda Blvd
Los Angeles, CA 90064-1811
Phone (310) 278-7987

Other names 1

  • Leslie Diane Vaughn Doing business as

National Provider Directory

National Provider Directory

Locations

2235 S Sepulveda Blvd
Los Angeles, CA 90064
Phone (310) 278-7987

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1467580423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641811",
            "telephone_number": "310-278-7987",
            "fax_number": "310-278-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641811",
            "telephone_number": "310-278-7987",
            "fax_number": "310-278-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISS STEVENS FOR LINGERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-278-7987",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie Diane Vaughn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.