| Mr Yunitrisuwanto Basuki, | |
|
625 Montana Ave, Santa Monica, CA 90403-1409 | |
| (310) 393-7007 | |
| Not Available |
| Full Name | Mr Yunitrisuwanto Basuki |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 625 Montana Ave, Santa Monica, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518557016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 8254 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Yunitrisuwanto Basuki, 16011 S Western Ave Apt 14, Gardena, CA 90247-3736 Ph: (310) 866-2340 | Mr Yunitrisuwanto Basuki, 625 Montana Ave, Santa Monica, CA 90403-1409 Ph: (310) 393-7007 |
Michelle Panameno, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3435 Ocean Park Blvd Ste 110, Santa Monica, CA 90405 Phone: 310-439-9540 | |
Taksina Pelaez, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2122 Ocean Park Blvd Apt 6, Santa Monica, CA 90405 Phone: 818-424-5514 | |
Nattaporn Senasuntorn, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2901 Ocean Park Blvd, Santa Monica, CA 90405 Phone: 310-399-9484 | |
Anthony Lombardo, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2441 Beverley Ave Apt 10, Santa Monica, CA 90405 Phone: 310-497-3889 | |
Ms. Miharu Morita, LIC. MASSAGE THER Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1530 5th St Apt 220, Santa Monica, CA 90401 Phone: 310-899-9802 | |
Ms. Monique A Pickens, CLC Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1137 2nd St Ste 211, Santa Monica, CA 90403 Phone: 310-995-2662 | |
Mary Katharine Daniels, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 17th St Apt F, Santa Monica, CA 90404 Phone: 808-250-1220 |