Healthcare Provider Details

I. General information

NPI: 1184559700
Provider Name (Legal Business Name): MILAN MASSAGE & SPA PRODUCTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27590 CLINTON KEITH RD STE 23
MURRIETA CA
92562-8540
US

IV. Provider business mailing address

38107 PINE CREEK PL
MURRIETA CA
92562-3425
US

V. Phone/Fax

Practice location:
  • Phone: 951-775-6659
  • Fax: 951-600-5888
Mailing address:
  • Phone: 951-775-6659
  • Fax: 951-600-5888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HEIDI COLLEEN IVANOVICH
Title or Position: OWNER/ OPERATOR
Credential: LMT
Phone: 951-775-6659