Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marco Antonio

Individual provider Massage Therapist · NPI 1245090745

Marco Antonio is a Massage Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

11611 San Vicente Blvd
Los Angeles, CA 90049-5106
Phone: (925) 476-1767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 91285 (CA)

Record details

NPI number1245090745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

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