Healthcare Provider Details

I. General information

NPI: 1710841010
Provider Name (Legal Business Name): THE FIRST BUTLER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N SAN DIMAS CANYON RD
SAN DIMAS CA
91773-1223
US

IV. Provider business mailing address

3708 VERDANA CIR
LA VERNE CA
91750-3009
US

V. Phone/Fax

Practice location:
  • Phone: 626-203-8215
  • Fax:
Mailing address:
  • Phone: 626-203-8215
  • 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: YUEFEI GUAN
Title or Position: OWNER
Credential: CMT
Phone: 626-203-8215