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MARCO ANTONIO
NPI 1245090745
Massage Therapist in Los Angeles, CA

Active since March 21, 2024
11611 SAN VICENTE BLVD, LOS ANGELES, CA 90049(925) 476-1767 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marco Antonio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCO ANTONIO (NPI 1245090745) is an individual massage therapist in Los Angeles, California, licensed in California (91285) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1245090745
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMARCO ANTONIO
Location Address11611 SAN VICENTE BLVDLos Angeles, CA 90049-5106
Mailing Address3020 Rowena Ave Apt 102Los Angeles, CA 90039-2081 · (818) 209-0336
Phone(925) 476-1767
Sole ProprietorYes
Enumeration DateMarch 21, 2024
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1245090745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 91285
Definition
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.
11611 SAN VICENTE BLVD, Los Angeles, CA 90049
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY YU DC
Chiropractor
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Los Angeles County (925) 430-6630
DANIELA CERVANTES PT, DPT
Physical Therapist
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Los Angeles County (925) 430-6630
MAURICE DARVISH, MD
Specialist
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Los Angeles County (310) 820-0013
SKINPECCABLE INC.
Clinic/Center
11611 SAN VICENTE BLVD, LOBBY LEVEL
LOS ANGELES, CA 90049
Los Angeles County (310) 826-2555
HOOSHANG TABIBIAN MEDICAL CORPORATION, INC.
Legal Medicine
11611 SAN VICENTE BLVD, GROUND FLOOR
LOS ANGELES, CA 90049
Los Angeles County (310) 447-6060
CLARENCE HOWARD
Health and Wellness Coach
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Los Angeles County (904) 210-2713
BROOKE ERYN LEVINE PHYSICIAN ASSISTANT
Physician Assistant
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Los Angeles County (818) 477-7207
THE CLAIRITY METHOD LLC
Clinic/Center (Physical Therapy)
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Los Angeles County (904) 210-2713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marco Antonio's NPI number?

The NPI number for Marco Antonio is 1245090745. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Marco Antonio located?

Marco Antonio practices at 11611 San Vicente Blvd, Los Angeles, CA 90049. The listed phone number is (925) 476-1767.

What is Marco Antonio's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Marco Antonio was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.