BENJAMIN IWAN CMT NPI 1164142477

NPI Information

  • NPI: 1164142477
  • Provider Name: BENJAMIN IWAN, CMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 31 PALLADIUM LN
    LADERA RANCH, CA
    ZIP 92694
  • Phone: (612) 384-5889

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NPI Details

Benjamin Iwan, CMT is a massage therapist in Ladera Ranch, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Benjamin Iwan, CMT NPI is 1164142477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31 PALLADIUM LN
LADERA RANCH, CA
ZIP 92694-201
Phone: (612) 384-5889

The enumeration date for this NPI number is 8/29/2022 and was last updated on 8/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist91250CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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