| Roeshan Shadravan, PHD DOMP MSC CST | |
|
1505 Lomas Santa Fe Dr, Solana Beach, CA 92075-2103 | |
| (760) 212-1678 | |
| Not Available |
| Full Name | Roeshan Shadravan |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1505 Lomas Santa Fe Dr, Solana Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144860743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 30079 (California) | Primary |
| 172M00000X | Mechanotherapist | (NU) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Roeshan Shadravan, PHD DOMP MSC CST 1160 N Coast Highway 101 #232126, Encinitas, CA 92023 Ph: (760) 212-1678 | Roeshan Shadravan, PHD DOMP MSC CST 1505 Lomas Santa Fe Dr, Solana Beach, CA 92075-2103 Ph: (760) 212-1678 |
Johnny Douglas, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 N Acacia Ave, Solana Beach, CA 92075 Phone: 760-529-7679 |
Mrs. Kelly Brett, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: Ste 300, 312 S Cedros Ave, Solana Beach, CA 92075 Phone: 858-877-1574 |
Cory Harris, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 634 Stevens Ave, Solana Beach, CA 92075 Phone: 858-350-6290 Fax: 858-350-6775 |