My Wig Studio

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MY WIG STUDIO

Practice address

12543 Winery Dr
Rancho Cucamonga, CA 91739-8834

Phone

(909) 952-4935

NPI assigned

Mar 9, 2014

Organization subpart

No

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

Authorized official

Name

Jasmin Acuna Barnes

Title

Owner

Phone

(909) 952-4935

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394323200000",
    "number": "1972929461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12543 WINERY DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12543 WINERY DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398834",
            "telephone_number": "909-952-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY WIG STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2014-03-09",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_middle_name": "ACUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-952-4935"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Mar 9, 2014; 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.