Provider Demographics
NPI:1427663871
Name:CATINDIG, CRESENDO AMOR HILARIO
Entity type:Individual
Prefix:
First Name:CRESENDO AMOR
Middle Name:HILARIO
Last Name:CATINDIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 EL CAMINO REAL APT 205
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4978
Mailing Address - Country:US
Mailing Address - Phone:650-303-7798
Mailing Address - Fax:
Practice Address - Street 1:1040 EL CAMINO REAL APT 205
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4978
Practice Address - Country:US
Practice Address - Phone:650-303-7798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80900225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA80900OtherCERTIFIED MASSAGE THERAPIST