Organization
MAISON CROWN IDENTITY SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUGENIA ELIZABETH EVERETT (FOUNDER)
(213) 797-0327
Entity
Organization
Contact information
Practice address
777 S ALAMEDA ST FL 2, LOS ANGELES, CA 90021-1656
(213) 797-0327
Mailing address
777 S ALAMEDA ST FL 2, LOS ANGELES, CA 90021-1656
(213) 797-0327
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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