I CANDY THERAPY LLC NPI 1689385460

NPI Information

  • NPI: 1689385460
  • Provider Name: I CANDY THERAPY LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 16012 S WESTERN AVE STE 101
    GARDENA, CA
    ZIP 90247
  • Phone: (626) 604-2159

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NPI Details

I CANDY THERAPY LLC is a massage therapist in Gardena, 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. I CANDY THERAPY LLC NPI is 1689385460. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16012 S WESTERN AVE STE 101
GARDENA, CA
ZIP 90247-797
Phone: (626) 604-2159

The provider's authorized official is Daquan Emmanuel Fergerson .
The authorized official title is Owner and has the following contact phone number (929) 363-4533.

The enumeration date for this NPI number is 12/12/2022 and was last updated on 12/12/2022.

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 TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M1OTHERCALIFORNIAM1

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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