Healthcare Provider Details

I. General information

NPI: 1326977265
Provider Name (Legal Business Name): SINTHA SAKTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21515 VANOWEN ST # 2200
CANOGA PARK CA
91303-2715
US

IV. Provider business mailing address

14670 ROSCOE BLVD APT 20
PANORAMA CITY CA
91402-4128
US

V. Phone/Fax

Practice location:
  • Phone: 424-385-3258
  • Fax:
Mailing address:
  • Phone: 424-385-3258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number83151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: