Provider Demographics
NPI:1083313704
Name:JAYDEEZE BEAUTY AND HEALTH CARE
Entity Type:Organization
Organization Name:JAYDEEZE BEAUTY AND HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:AUTHORIZED REP
Authorized Official - Phone:661-741-4135
Mailing Address - Street 1:5805 SAVORY LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-5645
Mailing Address - Country:US
Mailing Address - Phone:323-358-3911
Mailing Address - Fax:
Practice Address - Street 1:2922 SANTA MONICA BLVD STE C
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2414
Practice Address - Country:US
Practice Address - Phone:661-479-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACLR-90008725OtherSTATE ID