# ITINERANT BARBER AND BEAUTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Gentlemans Gent Mr. Drew Spangler
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043563109
- **Authorized official:** MR. DREW SPANGLER (OWNER)
- **Authorized official phone:** (213) 388-5683

## Contact information

- **Practice address:** 3355 WILSHIRE BLVD, SUITE 1406-B, LOS ANGELES, CA 90010-1837
- **Practice address phone:** (213) 388-5683
- **Mailing address:** 3355 WILSHIRE BLVD, SUITE 1406-B, LOS ANGELES, CA 90010-1837
- **Mailing address phone:** (213) 388-5683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 173C00000X | Reflexologist | — | NULL | — |
| 173C00000X | Reflexologist | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |
| 247200000X | Other Technician | — | NULL | — |
| 247200000X | Other Technician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 374700000X | Technician | — | NULL | — |
| 374700000X | Technician | — | — | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 10/25/2012
- **Last updated:** 10/25/2012