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NPI Code Detail

MEDICARE: MR. JESSE C ANORAJ CMT, NMT

MEDICARE:  MR. JESSE C ANORAJ  CMT, NMT
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 Therapist77236CA

General Provider Information

NPI Number : 1982255568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JESSE C ANORAJ CMT, NMT
Provider Business Mailing Address
First Line : 8000 SUNSET BLVD
Second Line : #B200-16
City : LOS ANGELES
State : CA
Zip : 90046-2439
Country : US
Telephone Number : 424-666-7026
Fax Number :
Provider Business Practice Location Address
First Line : 8000 SUNSET BLVD
Second Line : #B200-16
City : LOS ANGELES
State : CA
Zip : 90046-2439
Country : US
Telephone Number : 424-666-7026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2019
Last Update Date : 01/19/2024

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Directions to “ MR. JESSE C ANORAJ CMT, NMT” Practice Location

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