Jonathan Haggart
Individual provider Active NPI Massage Therapist · West Hollywood, CA
NPI 1467167684 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1467167684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 25675 (CA)
- Practice address
- 8730 Santa Monica Blvd
West Hollywood, CA 90069-4547 - Phone
- (310) 652-3200
- NPI assigned
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Healthcare Inc | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 25675 | CA | Yes |
Addresses
Primary practice location
8730 Santa Monica Blvd
West Hollywood, CA 90069-4547
Mailing address
1010 E 7TH St Apt 5
Long Beach, CA 90813-4865
Phone (310) 435-1849
Other providers in West Hollywood, CA
- Colleen Gwarnicki
- Hannah Hackbart
- Mehrnaz Hadian
- Theodore Hagens
- Jason Hager
- Margaret Elizabeth Murphy Haglund
- Hahm'S Healing Hands
- Erin L Hahn
- Behrooz Hakimian
- Nanor Haladjian
All providers in West Hollywood, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.