Bloch Wellness & Sports Medicine

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BLOCH WELLNESS & SPORTS MEDICINE

Practice address

6324 E Pacific Coast Hwy Ste C
Long Beach, CA 90803-4841

Phone

(562) 493-5600

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Michael Frederick Douglas, LMT, SFCNPI 1477498665

Title

Massage Therapist/Flexibility Coach

Phone

(310) 480-4052

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Frederick Douglas Jr.

  • Behavior Technician
  • Covina, CA
  • NPI 1477498665
  NPD Authorized official

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1548046022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 E PACIFIC COAST HWY STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034841",
            "telephone_number": "562-493-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 E PACIFIC COAST HWY STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034841",
            "telephone_number": "562-493-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOCH WELLNESS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/FLEXIBILITY COACH",
        "authorized_official_telephone_number": "310-480-4052",
        "authorized_official_credential": "LMT, SFC"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Life Assisted Living Facility
• Blessingshealthcare, LLC
• Jeannie C. Blilie, RNP
• Jonathan B. Blitzer, MD
• Bloch Chiropractic Wellness and Sports Medicine PC
• Karen S. Bloch, D.C.
• Lindsey Eaton Bloor, PH.D.
• Nishondra Bloxton
• Iman Bludso
• Blue Horizon Private Home Care LLC

• Massage Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.