Healthcare Provider Details

I. General information

NPI: 1518255850
Provider Name (Legal Business Name): RAINDROP BODYWORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 OVERLAND AVE SUITE #230
LOS ANGELES CA
90034-5695
US

IV. Provider business mailing address

3500 OVERLAND AVE SUITE #230
LOS ANGELES CA
90034-5695
US

V. Phone/Fax

Practice location:
  • Phone: 310-202-0056
  • Fax: 866-220-1545
Mailing address:
  • Phone: 310-202-0056
  • Fax: 866-220-1545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: M E
Title or Position: PRESIDENT
Credential:
Phone: 310-202-0056