Healthcare Provider Details

I. General information

NPI: 1932046489
Provider Name (Legal Business Name): PB THERAPEUTIC MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3517 DEL REY ST STE 110
SAN DIEGO CA
92109-5759
US

IV. Provider business mailing address

3517 DEL REY ST STE 110
SAN DIEGO CA
92109-5759
US

V. Phone/Fax

Practice location:
  • Phone: 858-682-0063
  • Fax:
Mailing address:
  • Phone: 858-682-0063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DARIN KLEIN
Title or Position: OWNER
Credential:
Phone: 818-665-9770