Healthcare Provider Details

I. General information

NPI: 1467388447
Provider Name (Legal Business Name): YUFENG TIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 BALBOA BLVD
VAN NUYS CA
91406-2266
US

IV. Provider business mailing address

22855 15TH ST
NEWHALL CA
91321-1553
US

V. Phone/Fax

Practice location:
  • Phone: 818-578-8199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number88548
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: