Healthcare Provider Details

I. General information

NPI: 1356289219
Provider Name (Legal Business Name): JAMEELAH ISRAEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31025 FALLING STAR PL
MURRIETA CA
92563-1164
US

IV. Provider business mailing address

31025 FALLING STAR PL
MURRIETA CA
92563-1164
US

V. Phone/Fax

Practice location:
  • Phone: 615-931-6704
  • Fax:
Mailing address:
  • Phone: 615-931-6704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number97338
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: