MANE OF YOUR DREAM
NPI 1629603741
Prosthetic/Orthotic Supplier in Rancho Cucamonga, CA

Active since March 09, 2020
11553 FOOTHILL BLVD STE 101, RANCHO CUCAMONGA, CA 91730(909) 969-1833 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mane Of Your Dream NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANE OF YOUR DREAM (NPI 1629603741) is a healthcare organization registered as a prosthetic/orthotic supplier in Rancho Cucamonga, California and active in the NPI registry since March 2020. The organization lists Patsy Gallian, Billing/crendentialing, as its authorized official.

NPPES Registry Identity

NPI1629603741
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMANE OF YOUR DREAM
Location Address11553 FOOTHILL BLVD STE 101Rancho Cucamonga, CA 91730-0731
Mailing Address10210 Baseline Rd Spc 267Alta Loma, CA 91701-6048
Organization SubpartNo
Authorized OfficialPatsy GallianBilling/crendentialing · (214) 437-2272
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
NPI 1629603741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSpecialist · Prosthetics Case ManagementTaxonomy 1744P3200X
11553 FOOTHILL BLVD STE 101, Rancho Cucamonga, CA 91730

Other Identifiers 1

OtherKK347413CA · Cosmetology License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist (Prosthetics Case Management)
11553 FOOTHILL BLVD STE 101
RANCHO CUCAMONGA, CA 91730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mane Of Your Dream's NPI number?

The NPI number for Mane Of Your Dream is 1629603741. It was assigned to this organization in the NPPES registry on March 9, 2020.

Where is Mane Of Your Dream located?

Mane Of Your Dream is located at 11553 Foothill Blvd Ste 101, Rancho Cucamonga, CA 91730. The listed phone number is (909) 969-1833.

What is Mane Of Your Dream's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Mane Of Your Dream was last updated on March 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.