Provider Demographics
NPI:1477732865
Name:HAIR DESIGN CENTER
Entity Type:Organization
Organization Name:HAIR DESIGN CENTER
Other - Org Name:H.D.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-856-4247
Mailing Address - Street 1:1320 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7609
Mailing Address - Country:US
Mailing Address - Phone:323-856-4247
Mailing Address - Fax:323-460-2035
Practice Address - Street 1:1320 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90028-7609
Practice Address - Country:US
Practice Address - Phone:323-856-4247
Practice Address - Fax:323-460-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier