Healthcare Provider Details

I. General information

NPI: 1477323384
Provider Name (Legal Business Name): QUEENDAY HAIR ESSENTIALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4718 W SLAUSON AVE
LOS ANGELES CA
90056-1206
US

IV. Provider business mailing address

6125 CANTERBURY DR APT 213
CULVER CITY CA
90230-7134
US

V. Phone/Fax

Practice location:
  • Phone: 310-955-4811
  • Fax:
Mailing address:
  • Phone: 310-955-4811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DAYNINE BRYANT
Title or Position: PRACTITIONER
Credential:
Phone: 310-955-4811