Lopaka Thanh Son Los Banos

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60608509 Issued in WA

Practice address

35617 Wa-507
Yelm, WA 98597

Phone

(808) 286-3339

NPI assigned

Feb 8, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1134587090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 C ST S APT 61",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984447222",
            "telephone_number": "808-286-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35617 WA-507",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "telephone_number": "808-286-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOS BANOS",
        "first_name": "LOPAKA",
        "middle_name": "THANH SON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60608509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Well Chiropractic, Inc
• Julie Lobrie, LMP
• Caitlyn Long, DPT
• Gary D Longshore, D.C.
• Joanna Lopez, DPT
• Lukela Los Banos
• Jennifer R Lovejoy, LMP
• Jonathan Charles Ramos Lu, DBH, MCHES, ACE-CHC
• Savannah Ludford, LCSW
• Kathy Lund, LMP

• Massage Therapist in Yelm, WA
• Providers in Yelm, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.