Provider Demographics
NPI:1265856314
Name:SUNSHINE MASSAGE
Entity Type:Organization
Organization Name:SUNSHINE MASSAGE
Other - Org Name:SUNSHINE FOOT MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YAN
Authorized Official - Middle Name:JIANG
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:626-383-7837
Mailing Address - Street 1:7945 HAVE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3075
Mailing Address - Country:US
Mailing Address - Phone:909-989-5666
Mailing Address - Fax:909-945-3666
Practice Address - Street 1:11819 FOOTHILL BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3937
Practice Address - Country:US
Practice Address - Phone:909-989-5666
Practice Address - Fax:909-945-3666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty