Healthcare Provider Details

I. General information

NPI: 1275437303
Provider Name (Legal Business Name): VERONICA MARGO SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12631 MEMORIAL WAY
MORENO VALLEY CA
92553-2051
US

IV. Provider business mailing address

13142 BEN CLIFF DR APT A
MORENO VALLEY CA
92553-5431
US

V. Phone/Fax

Practice location:
  • Phone: 951-796-2244
  • Fax:
Mailing address:
  • Phone: 951-796-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. VERONICA M OROZCO
Title or Position: MANAGING OFFICER
Credential: LMT
Phone: 951-796-2244