Organization Active NPI

Bossi Gal Wig Academy

  • Prosthetic/Orthotic Supplier
  • Los Angeles, CA
National Provider Identifier
1871309468
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Yvonne Mincy, PROTHESIS MAKERNPI 1669290060
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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.