Active NPI
Bossi Gal Wig Academy
- Prosthetic/Orthotic Supplier
- Los Angeles, CA
National Provider Identifier
1871309468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BOSSI GAL WIG ACADEMY
- Practice address
- 640 S San Vicente Blvd Ste 441
Los Angeles, CA 90048-4654 - Phone
- (323) 244-3322
- NPI assigned
- Dec 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvonne Mincy, PROTHESIS MAKER
- Title
- Cranial Prosthesis
- Phone
- (323) 244-3322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
640 S San Vicente Blvd Ste 441
Los Angeles, CA 90048-4654
Mailing address
640 S San Vicente Blvd Ste 441
Los Angeles, CA 90048-4654
Phone (323) 244-3322
Other names 1
- Bossi Gal Wig Academy
National Provider Directory
National Provider DirectoryLocations
640 S San Vicente Blvd
Ste 441
Los Angeles, CA 90048
Phone (323) 244-3322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Los Angeles, CA
- NPI 1669290060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742256000000",
"number": "1871309468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S SAN VICENTE BLVD STE 441",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484654",
"telephone_number": "323-244-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S SAN VICENTE BLVD STE 441",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484654",
"telephone_number": "323-244-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSSI GAL WIG ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "MINCY",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "CRANIAL PROSTHESIS",
"authorized_official_telephone_number": "323-244-3322",
"authorized_official_credential": "PROTHESIS MAKER"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bossi Gal Wig Academy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.