Provider Demographics
NPI:1295340438
Name:SAHAGUN, CELINA (CMT)
Entity type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:SAHAGUN
Suffix:
Gender:
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 GAVIOTA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-3621
Mailing Address - Country:US
Mailing Address - Phone:714-791-4960
Mailing Address - Fax:
Practice Address - Street 1:18582 BEACH BLVD STE 11
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2071
Practice Address - Country:US
Practice Address - Phone:714-791-4960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72346225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist