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MISS STEVENS FOR LINGERIE NPI 1467580423


NPI Information

NPI: 1467580423
Provider Name: MISS STEVENS FOR LINGERIE

Doing Business As: LESLIE DIANE VAUGHN

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2235 S SEPULVEDA BLVD
LOS ANGELES, CA
ZIP 90064
Phone: (310) 278-7987
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MISS STEVENS FOR LINGERIE is a prosthetic orthotic supplier in Los Angeles, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MISS STEVENS FOR LINGERIE NPI is 1467580423. The provider is registered as an organization entity type.
The provider Is Doing Business As Leslie Diane Vaughn.

The provider's business location address is:

2235 S SEPULVEDA BLVD
LOS ANGELES, CA
ZIP 90064-811
Phone: (310) 278-7987
Fax: (310) 278-2593

The provider's authorized official is Leslie Diane Vaughn .
The authorized official title is Owner and has the following contact phone number (310) 278-7987.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/21/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11320270001MEDICARE NSCCALIFORNIA

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: 4/28/2024

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