Provider Demographics
NPI:1427655497
Name:NAJARIAN, NUNAE (LMT)
Entity type:Individual
Prefix:
First Name:NUNAE
Middle Name:
Last Name:NAJARIAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:NUNAE
Other - Middle Name:
Other - Last Name:NAJARIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NUNAE BRILLANTES LMT
Mailing Address - Street 1:7850 SLATER AVE SPC 14
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-6753
Mailing Address - Country:US
Mailing Address - Phone:209-765-9700
Mailing Address - Fax:
Practice Address - Street 1:7850 SLATER AVE SPC 14
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6753
Practice Address - Country:US
Practice Address - Phone:209-765-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12218225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist