Healthcare Provider Details

I. General information

NPI: 1356272728
Provider Name (Legal Business Name): JUNXIA CHEN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29950 HAUN RD STE 203
MENIFEE CA
92586-6527
US

IV. Provider business mailing address

29950 HAUN RD STE 203
MENIFEE CA
92586-6527
US

V. Phone/Fax

Practice location:
  • Phone: 951-878-5822
  • Fax:
Mailing address:
  • Phone: 951-878-5822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number56098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: