Organization
FAIRY BUNDLES BAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDRA AKINS (OWNER)
(626) 831-5410
Entity
Organization
Contact information
Practice address
1055 E COLORADO BLVD # 5, PASADENA, CA 91106-2327
(626) 831-5410
Mailing address
1055 E COLORADO BLVD # 1300, PASADENA, CA 91106-2327
(626) 831-5410
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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