Provider Demographics
NPI:1760713010
Name:SHEER PLEASURE BRA ENTERPRISES, INC.
Entity Type:Organization
Organization Name:SHEER PLEASURE BRA ENTERPRISES, INC.
Other - Org Name:SHEER PLEASURE IMAGE BOUTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZENNA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:626-967-6256
Mailing Address - Street 1:PO BOX 5008
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-5008
Mailing Address - Country:US
Mailing Address - Phone:626-967-6256
Mailing Address - Fax:888-272-2044
Practice Address - Street 1:171 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-2105
Practice Address - Country:US
Practice Address - Phone:626-967-6256
Practice Address - Fax:888-272-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6483280001Medicare PIN