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

TaxonomyCodeLicense
Massage Therapist 225700000XNone listed
Massage Therapist Primary 225700000X28485 (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.