Organization
CB THE BRAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACHELLE JOHNSON (OWNER)
(310) 817-4243
Entity
Organization
Contact information
Practice address
13907 VAN NESS AVE, GARDENA, CA 90249
(310) 817-4243
(323) 800-8358
Mailing address
13907 VAN NESS AVE, GARDENA, CA 90249-2913
(310) 817-7424
(323) 800-8358
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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