Charlene Charthern, COSMOTOLOGIST

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

19529 Ventura Blvd
Tarzana, CA 91356-2957

Phone

(818) 430-5078

Fax

(818) 757-1216

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1619448099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19529 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957",
            "telephone_number": "818-430-5078",
            "fax_number": "818-757-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19529 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562957",
            "telephone_number": "818-430-5078",
            "fax_number": "818-757-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTHERN",
        "first_name": "CHARLENE",
        "credential": "COSMOTOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.