Healthcare Provider Details

I. General information

NPI: 1952191074
Provider Name (Legal Business Name): CESAR MARCANO GARNIER CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 SERRAMONTE TER
FREMONT CA
94536-2713
US

IV. Provider business mailing address

380 SERRAMONTE TER
FREMONT CA
94536-2713
US

V. Phone/Fax

Practice location:
  • Phone: 310-345-5738
  • Fax:
Mailing address:
  • Phone: 310-345-5738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number13959
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: