MEDICARE: KINGCUTS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1851226088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINGCUTS SERVICES

Provider Business Mailing Address
First Line	:	1737 W 60TH ST # 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-1112
Country	:	US
Telephone Number	:	562-536-7397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1737 W 60TH ST # 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-1112
Country	:	US
Telephone Number	:	562-536-7397
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. RUSSELL C WATERS
Credential	:	WATERS
Telephone Number	:	562-536-7397

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “KINGCUTS SERVICES ” Practice Location

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