Healthcare Provider Details

I. General information

NPI: 1265327480
Provider Name (Legal Business Name): SISTERHOOD BY STYLER FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 CANDLEWOOD ST
BREA CA
92821-3617
US

IV. Provider business mailing address

16809 BELLFLOWER BLVD APT 522
BELLFLOWER CA
90706-5901
US

V. Phone/Fax

Practice location:
  • Phone: 562-702-6844
  • Fax:
Mailing address:
  • Phone: 562-702-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: STYLER ASHTIN ADAMSON
Title or Position: FOUNDER
Credential:
Phone: 562-702-6844