BODY NOURISHMENT WELLNESS SPA (NPI# 1649814096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649814096 |
| Entity Type | Organization |
| Organization Name | BODY NOURISHMENT WELLNESS SPA |
| Practice Address |
151 S Doheny Dr Ste 8 Beverly Hills CA 90211-2509 |
| Mailing Address |
11901 Santa Monica Blvd Ste 654 Los Angeles CA 90025-5190 |
| Practice Telephone | 4243132932 |
| Mailing Telephone | 4243132932 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | MS. LISA DEAN (OWNER/MASSAGE THERAPIST) |
| Authorized Official Telephone | 4243132932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BODY NOURISHMENT WELLNESS SPA | 151 S Doheny Dr Ste 8, Beverly Hills, CA 90211-2509 |
| Street Address |
151 S DOHENY DR STE 8 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689148546 | Lisa Dean | Massage Therapist | 151 S Doheny Dr Ste 8, Beverly Hills, CA 90211-2509 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397576 | Erik Dawson | Massage Therapist | 16291 W 14 Mile Rd # Rdsuite5, Beverly Hills, MI 48025-3327 | 2019-07-09 |
| 1689148546 | Lisa Dean | Massage Therapist | 151 S Doheny Dr Ste 8, Beverly Hills, CA 90211-2509 | 2019-01-14 |
| 1033591292 | Umarin Wachter | Massage Therapist | 1840 Benedict Canyon Dr, Beverly Hills, CA 90210-2007 | 2015-06-24 |
| 1841536182 | Barbara Gail Sansom | Massage Therapist | 791 W Colbert Ct, Beverly Hills, FL 34465-4730 | 2012-12-13 |
| 1487931457 | Nikki Lyons | Massage Therapist | 26 N Davis St, Beverly Hills, FL 34465-3244 | 2011-11-04 |
| 1629285317 | Laurie Ann Brothers | Massage Therapist | 6 W Lemon Street, Beverly Hills, FL 34465 | 2007-05-16 |
| 1275747537 | Magdalena Cognato | Massage Therapist | 6 West Lemon Street, Beverly Hills, FL 34465 | 2007-05-09 |
| 1114147485 | Martha Murray Pullian | Massage Therapist | 6 West Lemon St, Beverly Hills, FL 34465 | 2007-04-27 |
| 1528185337 | Pat Elling | Massage Therapist | 4480 W Horseshoe Dr, Beverly Hills, FL 34465-2952 | 2007-03-25 |
| 1174681175 | Janice L. Vidal | Massage Therapist | 4027 N Lecanto Hwy, Beverly Hills, FL 34465-3551 | 2006-12-04 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on BODY NOURISHMENT WELLNESS SPA.
| 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.