Healthcare Provider Details
I. General information
NPI: 1407714496
Provider Name (Legal Business Name): X BACKHAND INC DBA SERENITY LUXE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1120 N PACIFIC AVE STE 4
GLENDALE CA
91202-4347
US
IV. Provider business mailing address
1120 N PACIFIC AVE STE 4
GLENDALE CA
91202-4347
US
V. Phone/Fax
- Phone: 818-245-6531
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ASHOT
ARUTYUNYAN
Title or Position: OWNER
Credential:
Phone: 818-644-7468