Createdhair Designs, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CREATEDHAIR DESIGNS, LLC

Doing business as

Createdhair.com and Salons

Practice address

10390 Wilshire Blvd. Suite 1209
Los Angeles, CA 90024

Phone

(310) 550-0721

Fax

(310) 278-9070

NPI assigned

Aug 16, 2010

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Jane Gibson

Title

Manager

Phone

(310) 550-0721

Specialties & licenses 1

Addresses

Other names 2

• Createdhair.com and Salons Doing business as
• CreatedHair Designs, LLC Other name

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1518272491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 WILSHIRE BLVD. SUITE 1209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246454",
            "telephone_number": "310-550-0721",
            "fax_number": "310-278-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 WILSHIRE BLVD. SUITE 1209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-550-0721",
            "fax_number": "310-278-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATEDHAIR DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-550-0721"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Createdhair.com and Salons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CreatedHair Designs, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.