Laura's Corset Shoppe Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

17087789 Issued in CA

Legal business name

LAURA'S CORSET SHOPPE INC.

Practice address

232 N Brand Blvd
Glendale, CA 91203-2610

Phone

(818) 241-5616

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Haley V Trivoli, OWNERNPI 1891257499

Title

Ceo

Phone

(818) 241-5616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haley Trivoli

  • Mastectomy Fitter
  • Glendale, CA
  • NPI 1891257499
  NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902935901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032610",
            "telephone_number": "818-241-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032610",
            "telephone_number": "818-241-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA'S CORSET SHOPPE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIVOLI",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-241-5616",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "17087789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deon We-Jin Lau, M.D.
• Gordon Lau, D.D.S.
• Jonathan B Lau, D.O.
• Wan Fong Lau, FNP
• Brenda Grice Laue, DC
• Joyce Lauterback, MFT
• Lav Home Health
• Erlinda L Lavares, DDS
• Lavila Hospice Inc
• Jessica Jonell Lavoise, PA-C

• Customized Equipment (DME) in Glendale, CA
• Providers in Glendale, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.