Organization
ELEGANT & CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAYANNA BOUCAUD (OWNER)
(929) 884-2242
Entity
Organization
Contact information
Practice address
8837 BURNET AVE APT 111, NORTH HILLS, CA 91343-5667
(929) 884-2242
Mailing address
11054 VENTURA BLVD # 2702, STUDIO CITY, CA 91604-3546
(929) 884-2242
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
01/12/2026
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