| Myo Face Therapy, Llc | |
|
13932 Hollywood Ave Eastvale CA 92880-8823 | |
| (909) 489-0100 | |
| Not Available |
| Full Name | Myo Face Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13932 Hollywood Ave, Eastvale, California |
| Authorized Official Name and Position | Staci Bergeron (MYOFUNCTIONAL THERAPIST) |
| Authorized Official Contact | 9094890100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myo Face Therapy, Llc 13932 Hollywood Ave Eastvale CA 92880-8823 Ph: (909) 489-0100 | Myo Face Therapy, Llc 13932 Hollywood Ave Eastvale CA 92880-8823 Ph: (909) 489-0100 |
| NPI Number | 1902753072 |
|---|---|
| Provider Enumeration Date | 03/16/2026 |
| Last Update Date | 03/16/2026 |
| Certification Date | 03/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902753072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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