Doctor Name: | JOHN MASSOUD |
NPI Number: | 1598854531 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC, LMP, NCTM |
License Number: | 500748-05 |
Business Practice Address: | 22471 Aspan St Suite 110 Lake Forest, CA - 926301642 |
Business Phone Number: | 9495831797 |
Business Fax Number: | 9495865701 |
Mailing Address: | 5 Hidden Creek Ln, LAGUNA HILLS |
State: | CA |
Postal Code: | 926534479 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 500748-05 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |