I Candy Therapy LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

I CANDY THERAPY LLC

Practice address

16012 S Western Ave Ste 101
Gardena, CA 90247-3797

Phone

(626) 604-2159

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Daquan Emmanuel Fergerson

Title

Owner

Phone

(929) 363-4533

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1689385460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16012 S WESTERN AVE STE 101",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473797",
            "telephone_number": "626-604-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16012 S WESTERN AVE STE 101",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473797",
            "telephone_number": "626-604-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CANDY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "FERGERSON",
        "authorized_official_first_name": "DAQUAN",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-363-4533"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M1",
            "identifier": "M1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jung Ja Hwang, L. AC.
• Sara Hwang
• Frances Carter Hyde
• Hyun Acupunture
• Myung Ho Hyun, PH.D, L.AC
• Aileen Ibanez
• Anacani Bustamante Ibarra
• Cristy Ibarra
• Efrain Ibarra, M.A. LMFT
• Ivette Ibarra, NONE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.