Healthcare Provider Details

I. General information

NPI: 1164319109
Provider Name (Legal Business Name): HAPPY BODY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3674 SAN ANSELINE AVE
LONG BEACH CA
90808-2701
US

IV. Provider business mailing address

3674 SAN ANSELINE AVE
LONG BEACH CA
90808-2701
US

V. Phone/Fax

Practice location:
  • Phone: 562-645-6811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY SAYAS NOBLE
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 562-818-7664