MEDICARE: ROBIN QUINCEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	32673	CA

General Provider Information

NPI Number	:	1821696238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN QUINCEY

Provider Business Mailing Address
First Line	:	1825 S CRESCENT HEIGHTS BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4616
Country	:	US
Telephone Number	:	121-339-9522
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 S CRESCENT HEIGHTS BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4616
Country	:	US
Telephone Number	:	121-339-9522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2020
Last Update Date	:	10/16/2020

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Directions to “ ROBIN QUINCEY ” Practice Location

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