Healthcare Provider Details

I. General information

NPI: 1366091910
Provider Name (Legal Business Name): FIRST TOUCH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 MAIN ST STE 103
IRVINE CA
92614-6524
US

IV. Provider business mailing address

25482 ELDERWOOD
LAKE FOREST CA
92630-6411
US

V. Phone/Fax

Practice location:
  • Phone: 949-445-4123
  • Fax:
Mailing address:
  • Phone: 949-241-6833
  • 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 Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA KAREN LASTER
Title or Position: OWNER
Credential: NMT,CPMT,CMT
Phone: 949-241-6833