Body and Soul Care Clinic

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BODY AND SOUL CARE CLINIC

Practice address

13910 Lyons Valley Rd Ste L-1
Jamul, CA 91935-2028

Phone

(619) 607-7474

NPI assigned

Jun 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph ChristodoulosNPI 1962196352

Title

Certified Massage Therapist

Phone

(619) 607-7474

Specialties & licenses 1

Addresses

Other names 1

• Bodyworks Healing Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Christodoulos

  • Massage Therapist
  • Jamul, CA
  • NPI 1962196352

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1083308449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 LYONS VALLEY RD STE L-1",
            "city": "JAMUL",
            "state": "CA",
            "postal_code": "919352028",
            "telephone_number": "619-607-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 LYONS VALLEY RD STE L-1",
            "city": "JAMUL",
            "state": "CA",
            "postal_code": "919352028",
            "telephone_number": "619-607-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND SOUL CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "CHRISTODOULOS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CERTIFIED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "619-607-7474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodyworks Healing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaa Kids Inc
• Apex Recovery, LLC
• Lauren Elizabeth Beauchamp, PH.D.
• Elizabeth Christodoulos
• Joseph Christodoulos
• John Clancy, FNP
• Karla Atzin Diaz, RN
• Stacy Renee Dimartino

• Massage Therapist in Jamul, CA
• Providers in Jamul, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.