Organization Active NPI

Miss Stevens for Lingerie

Doing business as Leslie Diane Vaughn

  • 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
Doing business as
Leslie Diane Vaughn
Practice address
2235 S Sepulveda Blvd
Los Angeles, CA 90064-1811
Phone
(310) 278-7987
Fax
(310) 278-2593
NPI assigned
Mar 1, 2007
Last updated
Jul 21, 2010By the provider in NPPES
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, CFMNPI 1922142199
Title
Owner
Phone
(310) 278-7987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

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.

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.