Healthcare Provider Details

I. General information

NPI: 1407642374
Provider Name (Legal Business Name): BEACH BABY PRENATAL MASSAGE & SKIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16152 BEACH BLVD STE 270
HUNTINGTON BEACH CA
92647-3824
US

IV. Provider business mailing address

16152 BEACH BLVD STE 270
HUNTINGTON BEACH CA
92647-3824
US

V. Phone/Fax

Practice location:
  • Phone: 714-756-3475
  • Fax:
Mailing address:
  • Phone: 714-756-3475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: SARAH GARCIA
Title or Position: CEO
Credential:
Phone: 714-615-1999