Healthcare Provider Details

I. General information

NPI: 1518763986
Provider Name (Legal Business Name): PRETTY GIRL EXTENSIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 CALIFORNIA AVE
BAKERSFIELD CA
93309-7024
US

IV. Provider business mailing address

4900 CALIFORNIA AVE
BAKERSFIELD CA
93309-7024
US

V. Phone/Fax

Practice location:
  • Phone: 661-220-5560
  • Fax:
Mailing address:
  • Phone: 661-220-5560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: BREANNA HERBERT
Title or Position: ONWER
Credential:
Phone: 661-220-5560