Organization
COTTON CANDY COLLECTIONS
Active
Other names
CCC21
Organization subpart
No
Provider details
NPI number
Authorized official
CHEYENNE LEWIS (MANAGER)
(323) 202-5052
Entity
Organization
Contact information
Practice address
1530 N POINSETTIA PLACE, LOS ANGELES, CA 90046
(323) 202-0552
Mailing address
311 N ROBERTSON BLVD # 314, BEVERLY HILLS, CA 90211-1705
(323) 202-5052
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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