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NPI Code Detail

MEDICARE: MARCIA PINTO

MEDICARE: MARCIA PINTO
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
1225700000XMassage Therapist4956CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14956OTHERCACALIFORNIA MASSAGE THERAPY COUNCIL

General Provider Information

NPI Number : 1427396225
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA PINTO
Provider Business Mailing Address
First Line : 3622 KEYSTONE AVE APT 8
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-5691
Country : US
Telephone Number : 805-636-8184
Fax Number :
Provider Business Practice Location Address
First Line : 3622 KEYSTONE AVE APT 8
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-5691
Country : US
Telephone Number : 805-636-8184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 01/29/2013

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Directions to “ MARCIA PINTO ” Practice Location

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