Individual provider · Type 1 NPI
Shuguang Fan
Massage Therapist · West Covina, CA
NPI number
1225864796
Active
Practice location
2707 E Valley BLVD,217, Ste 217
West Covina, CA 91792
Mailing address
4429 Bartlett Ave
Rosemead, CA 91770-1119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | None listed |
| Massage Therapist Primary | 225700000X | 28485 (CA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1225864796
Shuguang Fan's National Provider Identifier is 1225864796, issued on Sep 11, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Covina, CA. The record was last updated on Sep 11, 2024.