Allen Issei Golditch
Massage Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1962299552
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1962299552
- Entity type
- Individual (NPI-1)
- Name
- Allen Issei Golditch
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2025
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 79207 | CA | Yes |
Practice location
11419 Duenda RdSan Diego, CA 92127-1217
Phone 858-776-7452
Mailing address
11419 Duenda RdSan Diego, CA 92127-1217
Phone 858-776-7452
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