Healthcare Provider Details

I. General information

NPI: 1063321974
Provider Name (Legal Business Name): DAVID KRENZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2746 PACIFIC COAST HWY
TORRANCE CA
90505-7002
US

IV. Provider business mailing address

27545 LONGHILL DR
RANCHO PALOS VERDES CA
90275-3712
US

V. Phone/Fax

Practice location:
  • Phone: 310-221-2015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number77716
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: