CALIFORNIA MASSAGE NPI 1821719840

NPI Information

NPI: 1821719840
Provider Name: CALIFORNIA MASSAGE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 05D2226689

Address:
3410 HIGHLAND AVE STE 21
NATIONAL CITY, CA
ZIP 91950
Phone: (858) 740-9390
Get Directions

CALIFORNIA MASSAGE is a health service clinic center in National City, CA. CALIFORNIA MASSAGE NPI is 1821719840. The provider is registered as an organization entity type.

The provider's business location address is:

3410 HIGHLAND AVE STE 21
NATIONAL CITY, CA
ZIP 91950-420
Phone: (858) 740-9390

The provider's authorized official is Rissa Edwards .
The authorized official title is Business Owner/certified Mt and has the following contact phone number (858) 740-9390.

The CLIA number assigned to this NPI record is 05D2226689 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 9/7/2022.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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
1	900766276	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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