Healthcare Provider Details

I. General information

NPI: 1447198601
Provider Name (Legal Business Name): HER OWN ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9920 19TH ST APT 26
RANCHO CUCAMONGA CA
91737-4260
US

IV. Provider business mailing address

9920 19TH ST APT 26
RANCHO CUCAMONGA CA
91737-4260
US

V. Phone/Fax

Practice location:
  • Phone: 909-684-8671
  • Fax:
Mailing address:
  • Phone: 909-684-8671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LYNDSEY J SCOTT
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 909-684-8671