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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KHRISHUNDA UPSHAW, TRICHOLOGIST/HHP

Active Sole Proprietor

DR. KHRISHUNDA UPSHAW, TRICHOLOGIST/HHP is a Customized Equipment (DME) healthcare provider located in LONG BEACH, California. NPI 1164016978 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · LONG BEACH, CA

Registration Details

NPI Number
1164016978
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2021 (5.4827407334333 yrs)
Last Updated
Dec 8, 2021
Licenses
228944003 (CA)
228944003 (CA)
228944003 (CA)
Sole Proprietor
Yes

Practice Information

Address
2700 TEMPLE AVE STE D
LONG BEACH, CA, 908062280
Browse CA providers · Browse ZIP 90806
Phone
3107545297
Primary Specialty
Customized Equipment (DME)
332BC3200X
Additional Specialty
Prosthetic/Orthotic Supplier
Additional Specialty
Customized Equipment (DME)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.