Provider Demographics
NPI:1710366521
Name:JOEL'S MASSAGE & HOLISTIC CENTER
Entity Type:Organization
Organization Name:JOEL'S MASSAGE & HOLISTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:CORTEZ
Authorized Official - Last Name:ONAN
Authorized Official - Suffix:
Authorized Official - Credentials:HHP, LMT
Authorized Official - Phone:619-440-2440
Mailing Address - Street 1:1149 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-5024
Mailing Address - Country:US
Mailing Address - Phone:619-440-2440
Mailing Address - Fax:619-440-9440
Practice Address - Street 1:1149 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5024
Practice Address - Country:US
Practice Address - Phone:619-440-2440
Practice Address - Fax:619-440-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15303171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty