MEDICARE: CLOUD HOLDINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1073474532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOUD HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	12625 FREDERICK ST STE E1
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-5253
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12625 FREDERICK ST STE E1
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-5253
Country	:	US
Telephone Number	:	951-542-0722
Fax Number	:

Authorized Official
Title or Position	:	C.E.O.
Name	:	JIAOLUAN WANG
Credential	:
Telephone Number	:	951-542-0722

Provider Enumeration Date	:	11/22/2025
Last Update Date	:	11/22/2025

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