Healthcare Provider Details

I. General information

NPI: 1770405656
Provider Name (Legal Business Name): KARINA VIRAMONTES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5541 ARROW HWY STE A
MONTCLAIR CA
91763-6600
US

IV. Provider business mailing address

480 BARRY DR
POMONA CA
91767-1934
US

V. Phone/Fax

Practice location:
  • Phone: 714-360-5461
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number97209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: