Provider Demographics
NPI:1275321788
Name:LA HAIR CANDY LLC
Entity type:Organization
Organization Name:LA HAIR CANDY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-233-7341
Mailing Address - Street 1:6656 SPRINGVALE CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3800
Mailing Address - Country:US
Mailing Address - Phone:562-233-7341
Mailing Address - Fax:
Practice Address - Street 1:6088 ATLANTIC AVE STE B
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-3000
Practice Address - Country:US
Practice Address - Phone:562-283-3261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier