# HAIR D211 BOUTIQUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366313389
- **Authorized official:** DIYA JOHNSON (OWNER)
- **Authorized official phone:** (323) 273-9072

## Contact information

- **Practice address:** 4239 N BELLFLOWER BLVD, LONG BEACH, CA 90808-1429
- **Practice address phone:** (323) 273-9072
- **Mailing address:** 4239 N BELLFLOWER BLVD, LONG BEACH, CA 90808-1429
- **Mailing address phone:** (323) 273-9072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2025
- **Last updated:** 09/15/2025