Healthcare Provider Details

I. General information

NPI: 1922938802
Provider Name (Legal Business Name): LA HAIR STYLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16040 HAYES LN # VA
WOODBRIDGE VA
22191-4537
US

IV. Provider business mailing address

16040 HAYES LN # VA
WOODBRIDGE VA
22191-4537
US

V. Phone/Fax

Practice location:
  • Phone: 929-410-5754
  • Fax: 929-410-5754
Mailing address:
  • Phone: 929-410-5754
  • Fax: 929-410-5754

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: LAILA ALI
Title or Position: CEO
Credential:
Phone: 929-410-5754