MISS PERLA MADRID , NPI 1750853768 — LOS ANGELES (CA)

NPI 1750853768

1+ Years Experience Individual

MISS PERLA MADRID

01.02.2019
PROVIDER ENUMERATION DATE
01.02.2019
LAST UPDATE DATE
1750853768
NPI NUMBER

About MISS PERLA MADRID

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

MISS PERLA MADRID is a provider established in LOS ANGELES, CA. The NPI number of MISS PERLA MADRID is 1750853768 and was assigned on 01.02.2019. The practitioners primary taxonomy code is: 171000000X CA .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900043413
  • Phone: 2139260225
  • Address: 3910 OAKWOOD AVE

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1750853768
  • Phone : 3239537350
  • Postalcode : 900043413
  • Address : 3910 OAKWOOD AVE

Provider taxonomy - Military Health Care Provider

  • Taxonomy code: 171000000X
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Contacts:

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  • MISS PERLA MADRID
  • Address : 3910 OAKWOOD AVE
  • Region : LOS ANGELES, CA
  • NPI : 1750853768
  • Phone : 3239537350
  • Postalcode : 900043413

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address3910 OAKWOOD AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900043413
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3239537350
The telephone number associated with the location address of the provider being identified.
NPI1750853768
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1171000000X
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Provider Enumeration Date01.02.2019
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01.02.2019
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MISS PERLA MADRID
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address3910 OAKWOOD AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900043413
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2139260225
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1171000000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Military Health Care Provider
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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