SUSAN MARIE MAGGIACOMO (NPI# 1932715315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932715315 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE MAGGIACOMO |
| Practice Address |
1849 Sawtelle Blvd Ste 630 Los Angeles CA 90025-7013 |
| Practice Telephone | 8774389335 |
| Mailing Telephone | 8774389335 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 73433 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1849 SAWTELLE BLVD STE 630 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394276 | Lawren Reed | Massage Therapist | 1849 Sawtelle Blvd Ste 630, Los Angeles, CA 90025-7013 | 2020-10-18 |
| 1194323451 | Amy Zimmerman | Massage Therapist | 1849 Sawtelle Blvd Ste 630, Los Angeles, CA 90025-7013 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| 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 |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1841899119 | Sonjia Breth | Massage Therapist | 10500 National Blvd Apt 40, Los Angeles, CA 90034-3624 | 2020-10-19 |
| 1114526563 | Clara Vazquez | Massage Therapist | 3329 W Sunset Blvd, Los Angeles, CA 90026-2117 | 2020-10-17 |
| 1376141788 | Rungaroon Seewai | Massage Therapist | 124 N Oxford Ave Apt 214, Los Angeles, CA 90004-4216 | 2020-10-16 |
| 1821696238 | Robin Quincey | Massage Therapist | 1825 S Crescent Heights Blvd, Los Angeles, CA 90035-4616 | 2020-10-16 |
| 1245838887 | Luis Bravo | Massage Therapist | 2526 Mayberry St, Los Angeles, CA 90026-2320 | 2020-10-15 |
| 1497353940 | Chalisa Thavonrungkit | Massage Therapist | 5440 Carlton Way Apt 105, Los Angeles, CA 90027-4878 | 2020-10-15 |
| 1962000604 | Priska Schuerpf | Massage Therapist | 3490 Wade St, Los Angeles, CA 90066-1534 | 2020-10-14 |
| 1164020954 | Karina Hernandez | Massage Therapist | 6211 St Albans St, Los Angeles, CA 90042-1319 | 2020-10-13 |
| 1942808951 | Michelle Gauntt | Massage Therapist | 10432 Parmelee Ave, Los Angeles, CA 90002-3547 | 2020-10-12 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on SUSAN MARIE MAGGIACOMO.
| 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.