MEDICAL SPA RETREAT, INC (NPI# 1164805487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164805487 |
| Entity Type | Organization |
| Organization Name | MEDICAL SPA RETREAT, INC |
| Other Organization Name | HAPPY FEET |
| Practice Address |
3523 W Olympic Blvd Fl 2 Los Angeles CA 90019-3502 |
| Practice Telephone | 2132490797 |
| Mailing Telephone | 2132490797 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |
| Authorized Official Name | MS. HYEKYONG LEE (OWNER) |
| Authorized Official Telephone | 2132490797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
AC14670 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Happy feet | Doing Business As Name - Organization |
| Street Address |
3523 W OLYMPIC BLVD FL 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1386022267 | Barbara Roces | Clinic/Center | 349 S Orange Grove Ave, Los Angeles, CA 90036-3103 | 2015-05-12 |
| 1477803450 | Childrens Hospital of Los Angeles | Clinic/Center | 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 | 2012-09-17 |
| 1457563629 | Gastroenterology Associates of Southern California | Clinic/Center | 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033 | 2007-05-03 |
| 1114088267 | Alexandr P. Ford, M.d. | Clinic/Center | 1125 S Beverly Dr Ste 700, Los Angeles, CA 90035-1148 | 2006-12-13 |
| 1487667002 | Carl Lauryssen Md Prof Corp. | Clinic/Center | 8201 Beverly Blvd Ste 405, Los Angeles, CA 90048-4505 | 2006-08-14 |
| 1922019348 | Seung M Lee | Clinic/Center | 2030-1 W Pico Blvd, Los Angeles, CA 90006-5011 | 2006-08-10 |
| 1679197123 | Zp Medical Services, PC | Clinic/Center | 12121 Wilshire Blvd, Los Angeles, CA 90025-1123 | 2020-06-01 |
| 1538792247 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 10884 Santa Monica Blvd Fl 3, Los Angeles, CA 90025-7638 | 2020-02-20 |
| 1487185039 | Ucla Mattel Children's Hospital | Clinic/Center | 300 Medical Plz, 3300, Los Angeles, CA 90095-0001 | 2017-03-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
Please comment or provide details below to improve the information on MEDICAL SPA RETREAT, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.