Oleg Bouimer, CMT
Individual provider Active NPI Massage Therapist · Malibu, CA
NPI 1912372541 · NPPES record last updated Dec 15, 2015
Key facts
- NPI
- 1912372541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 24838 (CA)
- Practice address
- 23440 Civic Center Way
Suite 202
Malibu, CA 90265-4854 - Phone
- (310) 317-9500
- Fax
- (310) 317-9502
- NPI assigned
- Dec 8, 2015
- Sex
- Male
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24838 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corie Tappin L.Ac Acupuncture & Traditional Chinese Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24838 | CA | Yes |
Addresses
Primary practice location
23440 Civic Center Way
Suite 202
Malibu, CA 90265-4854
Mailing address
23440 Civic Center Way
Suite 202
Malibu, CA 90265-4854
Phone (310) 317-9500
Other providers in Malibu, CA
- Elna Binckes
- Samantha Blaustein
- Bob S. Perkins D.D.S.
- Stephen Ross Bochner
- Elia Charlayne Bonner-Warszawski
- Gregg Brock
- Molly Brumagin
- Nicole Denise Bulick
- Robert M. Bunes
- Lindsley Alice Burke
All providers in Malibu, 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 Dec 15, 2015. 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.