Provider Demographics
NPI:1346643707
Name:UNIQUE FOR YOU
Entity Type:Organization
Organization Name:UNIQUE FOR YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FENEHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-268-6343
Mailing Address - Street 1:21826 GROVEPARK DR
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:CA
Mailing Address - Zip Code:91350-1616
Mailing Address - Country:US
Mailing Address - Phone:818-268-6343
Mailing Address - Fax:
Practice Address - Street 1:21826 GROVEPARK DR
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:CA
Practice Address - Zip Code:91350-1616
Practice Address - Country:US
Practice Address - Phone:818-268-6343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, MedicalGroup - Single Specialty