Healthcare Provider Details

I. General information

NPI: 1356273569
Provider Name (Legal Business Name): CHRISTOPHER PINON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4857 TOBIAS AVE
PICO RIVERA CA
90660-2118
US

IV. Provider business mailing address

4857 TOBIAS AVE
PICO RIVERA CA
90660-2118
US

V. Phone/Fax

Practice location:
  • Phone: 562-479-3935
  • Fax: 562-479-3935
Mailing address:
  • Phone: 562-479-3935
  • Fax: 562-479-3935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number99008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: