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Mr. Yunitrisuwanto Basuki
Massage Therapist in Santa Monica, California
NPI 1518557016

Yunitrisuwanto Basuki is a Massage Therapist based in Gardena, CA. Yunitrisuwanto Basuki practices in Santa Monica, CA. The NPI Number for Yunitrisuwanto Basuki is 1518557016 and holds a License No. 8254 (California).

The current practice location address for Yunitrisuwanto Basuki is 625 Montana Ave, Santa Monica, CA and can be reached out via phone at 310-393-7007.

Location: 625 Montana Ave, Santa Monica, CA, 90247-3736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518557016
Provider Name
Yunitrisuwanto Basuki
Credential
Provider Entity Type
Individual
Gender
Male
Address
625 Montana Ave, Santa Monica, CA, 90247-3736
Phone Number
310-393-7007
Fax Number
Provider Enumeration Date
01/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Montana Ave
City
Santa Monica
State
California
Zip
90403-1409
Phone Number
310-393-7007
Fax Number
person
Provider Business Mailing Address Details
Address
625 Montana Ave
City
Santa Monica
State
California
Zip
90403-1409
Phone Number
310-393-7007
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
8254 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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