=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255275897
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MANIFEST ENDEAVORS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2026
-----------------------------------------------------
Last Update Date | 04/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3401 PACIFIC AVE STE 1C
-----------------------------------------------------
City | MARINA DEL REY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90292-7800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 929-996-0614
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3401 PACIFIC AVE STE 1C
-----------------------------------------------------
City | MARINA DEL REY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90292-7800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 929-996-0614
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MASSAGE THERAPIST
-----------------------------------------------------
Name | MS. ELIN C BORJAS
-----------------------------------------------------
Credential | CMT
-----------------------------------------------------
Telephone | 929-996-0614
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------