DR. KHRISHUNDA UPSHAW TRICHOLOGIST/HHP NPI 1164016978

NPI Information

NPI: 1164016978
Provider Name: DR. KHRISHUNDA UPSHAW, TRICHOLOGIST/HHP
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
2700 TEMPLE AVE STE D
LONG BEACH, CA
ZIP 90806
Phone: (310) 754-5297
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DR. Khrishunda Upshaw, TRICHOLOGIST/HHP is a customized equipment durable medical equipment medical supplies in Long Beach, CA. DR. Khrishunda Upshaw, TRICHOLOGIST/HHP NPI is 1164016978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2700 TEMPLE AVE STE D
LONG BEACH, CA
ZIP 90806-280
Phone: (310) 754-5297

The enumeration date for this NPI number is 2/22/2021 and was last updated on 12/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		228944003	CALIFORNIA	No
2	335E00000X	Prosthetic/Orthotic Supplier		228944003	CALIFORNIA	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	228944003	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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