Provider Demographics
NPI:1275303562
Name:BRIGGS, CHERAM ROZARIA
Entity Type:Individual
Prefix:
First Name:CHERAM
Middle Name:ROZARIA
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 S SPRING ST APT 722
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2975
Mailing Address - Country:US
Mailing Address - Phone:714-616-4793
Mailing Address - Fax:
Practice Address - Street 1:2801 E SPRING ST STE 120
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-6840
Practice Address - Country:US
Practice Address - Phone:424-282-0177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74918225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist