Healthcare Provider Details

I. General information

NPI: 1407765837
Provider Name (Legal Business Name): ANDREW TANTISUKAROM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 ABBOT KINNEY BLVD
VENICE CA
90291-6722
US

IV. Provider business mailing address

809 N ORLANDO AVE
WEST HOLLYWOOD CA
90069-5413
US

V. Phone/Fax

Practice location:
  • Phone: 323-683-5074
  • Fax:
Mailing address:
  • Phone: 323-683-5074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number82023
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: