Hair Aesthetic Institute Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G70646 Issued in CA

Legal business name

HAIR AESTHETIC INSTITUTE INC

Practice address

11500 W Olympic Blvd
Suite 315
Los Angeles, CA 90064-1524

Phone

(310) 479-4247

Fax

(310) 479-4241

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Kenneth David Siporin, M.D., F.A.C.S.

Title

President

Phone

(310) 479-4247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1881947935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641524",
            "telephone_number": "310-479-4247",
            "fax_number": "310-479-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641524",
            "telephone_number": "310-479-4247",
            "fax_number": "310-479-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR AESTHETIC INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "SIPORIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-479-4247",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G70646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melat Fekade Haile, FNP
• Melon D. Haile, ASW
• Tseganesh Haileselassie
• Marcus Hailey
• Eyouel Hailu
• Hair With a Cause
• Danisha Hairston
• Haitham Elgendi DDS Inc
• Haize Hawke Healing Services, Inc
• Nastassia Josephine Hajal, PHD

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.